Jsj of Northwest Fla, INC

NPI #1609908367 in Pace, Florida

Provider Information

NPI Number: 1609908367
Entity Type: Organization
Organization Name: Jsj of Northwest Fla, INC
Primary Specialty: Pharmacist
Enumeration Date: Mar 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4341 WOODBINE RD
Address 2: SUITE C
City: Pace
State: Florida
ZIP Code: 32571-8792
Phone: (850) 994-9444

Authorized Official

Name: DR. WENDA YVONNE SULLIVAN, PHARMD, RPH
Title: OWNER, PHARMACIST
Phone: (850) 994-9444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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