| NPI Details | |
|---|---|
| NPI | 1043414782 |
| Enumeration Date | 06/14/2007 |
| Last Updated | 08/13/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | KATHLEEN KATHLEEN |
| Position | CO-OWNER, PHARMACY MANAGER |
| Phone | (386) 497-2580 |
| Fax | (386) 497-4227 |
| Practice Location | |
|---|---|
| 7729 SW US HIGHWAY 27 FORT WHITE FL, 32038-3508, US |
|
| Phone | (386) 497-2580 |
| Fax | (386) 497-4227 |
| Business Location | |
|---|---|
| 7729 SOUTHWEST US HIGHWAY 27 FORT WHITE FL, 32038, US |
|
| Phone | (386) 497-2580 |
| Fax | (386) 497-4227 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | Florida |
| License Number | PH22706 |
| Remove 1043414782 NPI Number | |
According to our database, North Florida Pharmacy Of Fort White Inc NPI is 1043414782, taxonomy code is 332B00000X and license number is PH22706, license state is located at Florida. North Florida Pharmacy Of Fort White Inc physically located at 7729 Sw Us Highway 27, Fort White FL, 32038-3508. NPI Number 1033115704 has the healthcare provider type.
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1043414782 NPI number is provided on an as is basis without warranty of any kind. 1043414782 is maintained by the National Plan & Provider Enumeration System. The contents of North Florida Pharmacy Of Fort White Inc are for informational purposes only.
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