MEDICARE: GUARDIAN PHARMACY OF JACKSONVILLE, LLC

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
1	3336L0003X	Long Term Care Pharmacy	PS31724	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS31724	OTHER	FL	REGISTERED PHARMACIST LICENSE

General Provider Information

NPI Number	:	1629495536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN PHARMACY OF JACKSONVILLE, LLC

Provider Business Mailing Address
First Line	:	8000 BELFORT PKWY
Second Line	:	SUITE 200
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6934
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 BELFORT PKWY
Second Line	:	SUITE 200
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6934
Country	:	US
Telephone Number	:	904-345-4301
Fax Number	:	904-296-0604

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KHRISTY MCCLELLAND
Credential	:	RPH
Telephone Number	:	904-345-4301

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	03/28/2014

Similar Medicare Providers

1306120811 — KAREN MAY RPH
Practice Location Address:

8000 BELFORT PKWY , SUITE 200
JACKSONVILLE, FL
32256-6934

Practice Phone: 904-296-0016
Practice Fax: 904-296-0604

1013159110 — AMIR H. FATEMI, M.D., LLC
Practice Location Address:

6934 SAINT AUGUSTINE RD
JACKSONVILLE, FL
32217-2820

Practice Phone: 904-737-9393
Practice Fax: 904-737-9263

1669759395 — AMIR H. FATEMI, M.D., IP.L
Practice Location Address:

6934 SAINT AUGUSTINE RD
JACKSONVILLE, FL
32217-2820

Practice Phone: 904-737-3939
Practice Fax: 904-737-9263

1205929429 — HALLS DRUG CENTER INC
Practice Location Address:

505 S TOWER AVE STE 2B
CENTRALIA, WA
98531-3919

Practice Phone: 360-736-5000
Practice Fax: 360-736-6934

1780754440 — FAMILY HEALTH PHARMACIES INC
Practice Location Address:

301 GEORGIA ST
LOUISIANA, MO
63353-1717

Practice Phone: 573-754-4551
Practice Fax: 573-754-6934

1841007614 — RAPOPORT RX INC
Practice Location Address:

6934 BUSTLETON AVE
PHILADELPHIA, PA
19149-1805

Practice Phone: 215-333-1566
Practice Fax: 215-333-8225

Directions to “GUARDIAN PHARMACY OF JACKSONVILLE, LLC ” 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.