Mayo Pharmacy

LBN: Mayo Clinic Jacksonville
Mayo Pharmacy is an health care organization with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Mayo Clinic Jacksonville can be contacted via phone (904) 953-7355, or through Rigdon, Alice via phone (904) 953-0577.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-7355
Fax: (904) 953-1768
Website:
Map and Directions
Authorized official contact:
Name: Rigdon, Alice
Phone: (904) 953-0577

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1558350413
LBN Legal business name Mayo Clinic Jacksonville
DBA Doing business as Mayo Pharmacy
Authorized official Rigdon, Alice
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 13th, 2005
Last updated Apr 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558350413 NPPES
Florida Other PH14369 LICENSE NUMBER
Florida MEDICAID 009241600 LICENSE NUMBER

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