DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PARK & KING PHARMACY INC

MEDICARE: PARK & KING PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336S0011XSpecialty Pharmacy
33336C0004XCompounding Pharmacy
43336C0003XCommunity/Retail PharmacyPH9341FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12007375OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235237132
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK & KING PHARMACY INC
Provider Business Mailing Address
First Line : 4163 OXFORD AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-4425
Country : US
Telephone Number : 904-389-6602
Fax Number : 904-389-7062
Provider Business Practice Location Address
First Line : 4163 OXFORD AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-4425
Country : US
Telephone Number : 904-389-6602
Fax Number : 904-389-7062
Authorized Official
Title or Position : OWNER
Name : GREG CARTER
Credential : BSRRT
Telephone Number : 904-389-6602
Provider Enumeration Date : 09/21/2006
Last Update Date : 02/02/2015

Similar Medicare Providers

1881636553 — SJOUKJE ODETTE MOONEYHAM C.N.M./A.R.N.P.
Practice Location Address:
4425 MERRIMAC AVE
JACKSONVILLE, FL
32210-1850
Practice Phone: 904-346-0050
Practice Fax: 904-346-0080
1760403091 — EVALEEN FAYE CACCAM MD
Practice Location Address:
4425 MERRIMAC AVE
JACKSONVILLE, FL
32210-1850
Practice Phone: 904-346-0050
Practice Fax: 904-346-0080
1508161498 — JENNIFER L. CANNESTRA L.AC.
Practice Location Address:
4155 OXFORD AVE
JACKSONVILLE, FL
32210-4425
Practice Phone: 904-868-4959
Practice Fax:
1477896314 — DR. JENNIFER ANASTASIA WHITELOCK MD, MPH
Practice Location Address:
4425 MERRIMAC AVE
JACKSONVILLE, FL
32210-1850
Practice Phone: 904-431-0700
Practice Fax: 904-212-0780
1295124600 — DR. BRITTNEY MASON MD
Practice Location Address:
4425 MERRIMAC AVE
JACKSONVILLE, FL
32210-1850
Practice Phone: 904-346-0050
Practice Fax: 904-346-0080
1003283441 — DANIELLE HARPER KEY APRN
Practice Location Address:
4425 MERRIMAC AVE
JACKSONVILLE, FL
32210-1850
Practice Phone: 904-346-0050
Practice Fax: 904-346-0080

Directions to “PARK & KING PHARMACY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.