Organization
PUBLIC SQUARE PHARMACY LLC
Active
Other names
Public Square Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO GOMEZ PHARM. D. (OWNER PHARMACY MANAGER)
(941) 204-1610
Entity
Organization
Contact information
Practice address
2736 UNIVERSITY BLVD W STE 2, JACKSONVILLE, FL 32217-2170
(941) 204-1610
(904) 376-7718
Mailing address
2736 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2179
(941) 204-1610
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101862900
—
FL
Enumeration date
11/07/2018
Last updated
08/21/2025
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