Dennis Scarbrough
Pharmacy, Community/Retail Pharmacy in Jacksonville, FL. Organization (NPI-2).
NPI number1609045137
StatusActive
Last updated in NPPESJun 13, 2008
Details
- NPI
- 1609045137
- Entity type
- Organization (NPI-2)
- Legal business name
- Dennis Scarbrough
- Organization subpart
- No
- Enumeration date
- Feb 28, 2008
- Last updated
- Jun 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH0012202 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH0012202 | FL |
Practice location
7900 103rd StSuite 14
Jacksonville, FL 32210-6681
Phone 904-772-8998 · Fax 904-772-1979
Mailing address
7900 103rd StSuite 14
Jacksonville, FL 32210-6681
Phone 904-772-8998 · Fax 904-772-1979
Authorized official
Dennis Michael Scarbrough
Owner
9047728998
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