| NPI | 1881998938 |
|---|---|
| Doing Business As | JAX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KAVIN PATEL Pharmacy Manager 904-955-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25157) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2017-02-28 |