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Blacksheep Medical Llc
Non-Pharmacy Dispensing Site in Ormond Beach, Florida
NPI 1992134712

Blacksheep Medical Llc is a Non-Pharmacy Dispensing Site based in San Diego, FL. Blacksheep Medical Llc practices in Ormond Beach, FL. The NPI Number for Blacksheep Medical Llc is 1992134712 and holds a License No. OS8215 (Florida).

The current practice location address for Blacksheep Medical Llc is 1425 Hand Ave, Ormond Beach, FL and can be reached out via phone at 386-256-3977.

Location: 1425 Hand Ave, Ormond Beach, FL, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992134712
Provider Name
Blacksheep Medical Llc
Credential
Provider Entity Type
Organization
Address
1425 Hand Ave, Ormond Beach, FL, 92121-1705
Phone Number
386-256-3977
Fax Number
Provider Enumeration Date
11/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1425 Hand Ave
City
Ormond Beach
State
Florida
Zip
32174-1135
Phone Number
386-256-3977
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Hand Ave
City
Ormond Beach
State
Florida
Zip
32174-1135
Phone Number
386-256-3977
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
OS8215 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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