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Susan Dubose
Pharmacy in Macclenny, Florida
NPI 1366721904

Susan Dubose is a Pharmacy based in Macclenny, FL. Susan Dubose practices in Macclenny, FL. The NPI Number for Susan Dubose is 1366721904 and holds a License No. EH11591 (Florida).

The current practice location address for Susan Dubose is 1436 S 6Th St, Macclenny, FL and can be reached out via phone at 904-259-5868 and via fax at 904-259-5275.

Location: 1436 S 6Th St, Macclenny, FL, 32063-4623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366721904
Provider Name
Susan Dubose
Credential
Provider Entity Type
Organization
Address
1436 S 6Th St, Macclenny, FL, 32063-4623
Phone Number
904-259-5868
Fax Number
904-259-5275
Provider Enumeration Date
08/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101160000 05 FL
institution
Provider Business Practice Location Address Details
Address
1436 S 6Th St
City
Macclenny
State
Florida
Zip
32063-4623
Phone Number
904-259-5868
Fax Number
904-259-5275
person
Provider Business Mailing Address Details
Address
1436 S 6Th St
City
Macclenny
State
Florida
Zip
32063-4623
Phone Number
904-259-5868
Fax Number
904-259-5275
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
EH11591 (Florida)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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