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Cleveland Randolph, Jr, Md, Pa
Pharmacy in Jacksonville Beach, Florida
NPI 1629467782

Cleveland Randolph, Jr, Md, Pa is a Pharmacy based in Jacksonville Beach, FL. Cleveland Randolph, Jr, Md, Pa practices in Jacksonville Beach, FL. The NPI Number for Cleveland Randolph, Jr, Md, Pa is 1629467782 and holds a License No. PH28647 (Florida).

The current practice location address for Cleveland Randolph, Jr, Md, Pa is 1891 Beach Blvd, Jacksonville Beach, FL and can be reached out via phone at 904-746-3046 and via fax at 904-249-2047.

Location: 1891 Beach Blvd, Jacksonville Beach, FL, 32250-2644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629467782
Provider Name
Cleveland Randolph, Jr, Md, Pa
Credential
Provider Entity Type
Organization
Address
1891 Beach Blvd, Jacksonville Beach, FL, 32250-2644
Phone Number
904-746-3046
Fax Number
904-249-2047
Provider Enumeration Date
01/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PH28647 01 FL PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
1891 Beach Blvd
City
Jacksonville Beach
State
Florida
Zip
32250-2644
Phone Number
904-746-3046
Fax Number
904-249-2047
person
Provider Business Mailing Address Details
Address
1891 Beach Blvd
City
Jacksonville Beach
State
Florida
Zip
32250-2644
Phone Number
904-746-3046
Fax Number
904-249-2047
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PH28647 (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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