Weise Prescription Shop Inc in Jacksonville - Pharmacy

Weise Prescription Shop Inc - NPI 1710052063

Weise Prescription Shop Inc is a Pharmacy in Jacksonville, Florida. Weise Prescription Shop Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Weise Prescription Shop Inc is 1710052063. The last update date is 2020-08-22.

Weise Prescription Shop Inc's current location address is 4343 Colonial Avenue, Jacksonville, Florida. You can contact this provider via phone number 9043881564 and fax number 9043840569. The mailing address for Weise Prescription Shop Inc is 4343 Colonial Avenue, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Weise Prescription Shop Inc
Address 4343 Colonial Avenue, Jacksonville, Florida
Phone Number 9043881564
Fax Number 9043840569
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACIST
Authorized Official Name Weise Nelson Gilbert
Credentials RPH
Telephone Number 9043881564

NPI Number Detail

NPI Number 1710052063
Provider Enumeration Date 2006-11-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4343 Colonial Avenue
City Jacksonville
State Florida (FL)
Post Code 322103393
Phone Number 9043881564
Fax Number 9043840569

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PH520
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
1012234 NABP

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FAQs about Weise Prescription Shop Inc

What is the Weise Prescription Shop Inc's unique identification number?

The Weise Prescription Shop Inc has been assigned the NPI (National Provider Identifier) Number 1710052063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Weise Prescription Shop Inc?

The Weise Prescription Shop Inc is physically situated at 4343 Colonial Avenue, in the city of Jacksonville, state of FL, with the postal code 322103393.

What is Weise Prescription Shop Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Weise Prescription Shop Inc is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date did the Weise Prescription Shop Inc receive the assignment of its 1710052063 from the Centers for Medicare & Medicaid Services?

The Weise Prescription Shop Inc was issued its 1710052063 by the Centers for Medicare & Medicaid Services on 2006-11-22.

As of what date were the details related to Weise Prescription Shop Inc most recently updated or revised?

The information pertaining to Weise Prescription Shop Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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