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North Florida Reception Center

Pharmacy, Institutional Pharmacy in Lake Butler, FL. Organization (NPI-2).

NPI number1083809883
StatusActive
Last updated in NPPESMar 13, 2015

Details

NPI
1083809883
Entity type
Organization (NPI-2)
Legal business name
North Florida Reception Center
Organization subpart
No
Enumeration date
Sep 14, 2007
Last updated
Mar 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336I0012X Pharmacy, Institutional PharmacyPH2387FLYes
3336C0002X Pharmacy, Clinic Pharmacy––

Other names

  • North Florida Reception Center (Doing Business As)

Practice location

7765 S County Road 231
Dept Of Corrections
Lake Butler, FL 32054-5721

Phone 386-496-6532 · Fax 386-496-6081

Mailing address

Po Box 628
Lake Butler, FL 32054-0628

Phone 386-496-6532 · Fax 386-496-6081

Authorized official

Susan Moulder
Pharmacy Manager
3864966534

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