Jacksonville Main Pharmacy in Jacksonville - Military/u.s. Coast Guard Pharmacy

Jacksonville Main Pharmacy - NPI 1366541021

Jacksonville Main Pharmacy is a Military/u.s. Coast Guard Pharmacy in Jacksonville, Florida. Jacksonville Main Pharmacy practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for Jacksonville Main Pharmacy is 1366541021. The last update date is 2023-03-15.

Jacksonville Main Pharmacy's current location address is 2080 Child St, Jacksonville, Florida. You can contact this provider via phone number 9045427405 and fax number 9045429293. The mailing address for Jacksonville Main Pharmacy is 2080 Child St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacksonville Main Pharmacy
Address 2080 Child St, Jacksonville, Florida
Phone Number 9045427405
Fax Number 9045429293
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF DHA
Authorized Official Name Morales Hector
Telephone Number 2105366650

NPI Number Detail

NPI Number 1366541021
Provider Enumeration Date 2006-09-21
Last Updated Date 2023-03-15

Provider Mailing Address Detail

Address 2080 Child St
City Jacksonville
State Florida (FL)
Post Code 322145000
Phone Number 9045427405
Fax Number 9045429293

Provider's Primary Taxonomy Detail

Speciality Military/u.s. Coast Guard Pharmacy
Taxonomy 332000000X
Definition:
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Co

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2013277 PK

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FAQs about Jacksonville Main Pharmacy

What is the unique identification code assigned to Jacksonville Main Pharmacy by the Centers for Medicare & Medicaid Services?

The Jacksonville Main Pharmacy has been issued the NPI (National Provider Identifier) 1366541021. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jacksonville Main Pharmacy is physically located?

The Jacksonville Main Pharmacy is physically situated at the following address: 2080 Child St, Jacksonville, FL, 322145000.

What is Jacksonville Main Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jacksonville Main Pharmacy is Military/u.s. Coast Guard Pharmacy, and the corresponding taxonomy classification code for this specialized field is 332000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366541021 to Jacksonville Main Pharmacy?

The Centers for Medicare & Medicaid Services originally issued the 1366541021 to Jacksonville Main Pharmacy on 2006-09-21.

When was the Jacksonville Main Pharmacy's information last updated?

The Jacksonville Main Pharmacy's information was last updated on 2023-03-15.

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