Macclenny Pharmacy Company

NPI #1346550209 in Macclenny, Florida

Provider Information

NPI Number: 1346550209
Entity Type: Organization
Organization Name: Macclenny Pharmacy Company
Primary Specialty: Pharmacy
Enumeration Date: Oct 13, 2010
Last Updated: Oct 14, 2010

Practice Location

Address: 1254 S 6TH ST
Address 2: D-1
City: Macclenny
State: Florida
ZIP Code: 32063-4619
Phone: (904) 259-1116

Authorized Official

Name: INNOCENT EGBULAM OPARA, RPH
Title: PHARMACY MANAGER
Phone: (904) 259-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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