Northeast Florida State Hospital Pharmacy is not a DME supplier for medicare equipments and products.
Northeast Florida State Hospital Pharmacy is a Long Term Care Pharmacy in Macclenny, Florida. This pharmacy is owned and operated by Department Of Children & Familes. It is located at 7487 S State Road 121, Macclenny and it's customer support contact number is 904-259-6211. The authorized person of Northeast Florida State Hospital Pharmacy is Dr. Tan H Pham, PHARM.D. who is Pharmacy Manager of the pharmacy and his contact number is 904-330-2011. Northeast Florida State Hospital Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Northeast Florida State Hospital Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Northeast Florida State Hospital Pharmacy
Type:
Long Term Care Pharmacy
Location:
7487 S State Road 121, Macclenny, Florida, 32063-5451
Phone:
904-259-6211
Fax:
904-259-6709
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Dr. Tan H Pham
Credentials:
PHARM.D.
Position:
Pharmacy Manager
Contact Number:
904-330-2011
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1629227442
NPI Enumeration Date:
17 Sep, 2008
NPI Last Update On:
30 Jul, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeast Florida State Hospital Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
026002900
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7487 S State Road 121, Macclenny, Florida
Zip:
32063-5451
Phone Number:
904-259-6211
Fax Number:
904-259-6709
Patients can reach Northeast Florida State Hospital Pharmacy at 7487 S State Road 121, Macclenny, Florida or can call on customer care at 904-259-6211.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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