| NPI | 1861761694 |
|---|---|
| Doing Business As | MEDIMIX SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JERON STOKES Mgr 904-567-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25863) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |