Dr. Courtney Fosmoe
Pharmacist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982249355
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1982249355
- Entity type
- Individual (NPI-1)
- Name
- Dr. Courtney Fosmoe
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2019
- Last updated
- Nov 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS56422 | FL | Yes |
Practice location
9550 Baymeadows RdJacksonville, FL 32256-0710
Phone 904-431-6355
Mailing address
508 Midway StNeptune Beach, FL 32266-6172
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