Liquid Logic Rx
NPI #1376095729 in Jacksonville, Florida
Provider Information
- NPI Number
- 1376095729
- Entity Type
- Organization
- Organization Name
- Liquid Logic Rx
- Primary Specialty
- Point of Service
- Enumeration Date
- Nov 2, 2016
- Last Updated
- Nov 2, 2016
Practice Location
- Address
- 5105 BOWDEN RD
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-5907
- Phone
- (904) 374-0294
Authorized Official
- Name
- MRS. ANTONIETTA GUZMAN
- Title
- OFFICE MANAGER
- Phone
- (904) 374-0260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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