KLEINS OF JACKSONVILLE INC; NPI #1215567011

Contact Information

KLEINS OF JACKSONVILLE INC

14330 JARRETTSVILLE PIKE
PHOENIX, MD 21131-1743

Phone: 410-666-1700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KLEINS OF JACKSONVILLE INC

NPI Number 1215567011

LBN Legal business name KLEINS OF JACKSONVILLE INC

Authorized official FRANK HENDERSON - (PHARMACY DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/21/2020

Last updated 01/21/2020 - About 6 years ago

Identifiers

Medicaid

001843100

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KLEINS OF JACKSONVILLE INC

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for KLEINS OF JACKSONVILLE INC

Reviews for KLEINS OF JACKSONVILLE INC