Healthcare Provider Details
I. General information
NPI: 1932081825
Provider Name (Legal Business Name): AVH FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1126 UNIVERSITY BLVD N STE C
JACKSONVILLE FL
32211-8850
US
IV. Provider business mailing address
PO BOX 8472
JACKSONVILLE FL
32239-0472
US
V. Phone/Fax
- Phone: 904-923-3375
- Fax:
- Phone: 904-923-3375
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
HILL
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 904-923-3375