National Provider Identifier Database

THE APOTHECARY AT MEMORIAL
Corporate Health


Contact Information

THE APOTHECARY AT MEMORIAL
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL32216-4230
Phone: 904-702-6171
Fax: 904-702-6004
Website:
Specialty Taxonomy Code
* Corporate Health 261QC1800X

* Indicates primary specialty

NPI Profile & details for THE APOTHECARY AT MEMORIAL

NPI Number 1508966649
Legal business name
LBN
THE APOTHECARY AT MEMORIAL
Authorized official KEVIN MCKEOWN - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 09/25/2006
Last updated 03/30/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH 8064
  • FL Medicaid: 109647800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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