Eastside Pharmacy in Jacksonville - Pharmacy

Eastside Pharmacy - NPI 1285679712

Eastside Pharmacy is a Pharmacy in Jacksonville, Florida. Eastside Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Eastside Pharmacy is 1285679712. The last update date is 2020-08-22.

Eastside Pharmacy's current location address is 818 A Philip Randolph Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043538500 and fax number 4259692376. The mailing address for Eastside Pharmacy is 818 A Philip Randolph Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastside Pharmacy
Address 818 A Philip Randolph Blvd, Jacksonville, Florida
Phone Number 9043538500
Fax Number 4259692376
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Mccall Tommy
Telephone Number 8505451184

NPI Number Detail

NPI Number 1285679712
Provider Enumeration Date 2006-06-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 818 A Philip Randolph Blvd
City Jacksonville
State Florida (FL)
Post Code 322065776
Phone Number 9043538500
Fax Number 4259692376

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PH21752
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1016698 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Eastside Pharmacy

What is the unique 10-digit identifier code issued to Eastside Pharmacy by the Centers for Medicare & Medicaid Services?

The Eastside Pharmacy has been assigned the NPI (National Provider Identifier) 1285679712 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Eastside Pharmacy?

The Eastside Pharmacy is situated at 818 A Philip Randolph Blvd, in the city of Jacksonville, state of FL, with the zip code 322065776.

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

The primary area of medical expertise for Eastside Pharmacy is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1285679712 to Eastside Pharmacy?

The Centers for Medicare & Medicaid Services assigned the 1285679712 to Eastside Pharmacy on 2006-06-18.

As of what date was the information regarding Eastside Pharmacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eastside Pharmacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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