| NPI | 1902311046 |
|---|---|
| Doing Business As | SPRING PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STACY CHAO Pharmacist In Charge 904-551-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH31080) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-07-16 |