| NPI | 1316733264 |
|---|---|
| Doing Business As | ORTEGA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN DUANE Owner 904-389-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-10-10 |