| NPI | 1699227025 |
|---|---|
| Doing Business As | ORANGE PARK PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ABDALLA MOHAMED Pharmacy Manager/Owner 904-579-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH30423) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2018-07-19 |