| NPI | 1073604914 |
|---|---|
| Doing Business As | SHANDS JACKSONVILLE PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E GLEASON VP Of Finance And Treasurer 904-244-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL Ph21850) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-12-01 |