Organization
OM TSM LLC
Active
Other names
Durbin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAYLA BARNOUTI RPH (PHARMACIST)
(904) 619-9000
Entity
Organization
Contact information
Practice address
14965 OLD ST AUGUSTINE RD UNIT 108, JACKSONVILLE, FL 32258-9481
(904) 619-9000
Mailing address
8681 A C SKINNER PKWY APT 420, JACKSONVILLE, FL 32256-0844
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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