| NPI | 1891193017 |
|---|---|
| Doing Business As | JEFFERSON PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | CRAIG JOHANSON Owner/Manager 904-638-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28757) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2017-01-18 |