Jsj Of Northwest Fla, INC
Pharmacist in Pace, FL. Organization (NPI-2).
NPI number1609908367
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1609908367
- Entity type
- Organization (NPI-2)
- Legal business name
- Jsj Of Northwest Fla, INC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS33955 | FL | Yes |
Practice location
4341 Woodbine RdSuite C
Pace, FL 32571-8792
Phone 850-994-9444 · Fax 850-995-7772
Mailing address
4341 Woodbine RdSuite C
Pace, FL 32571-8792
Phone 850-994-9444 · Fax 850-995-7772
Authorized official
Wenda Yvonne Sullivan
Owner, Pharmacist
8509949444
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