Organization · Type 2 NPI

Pich KTM Corp

Community/Retail Pharmacy · Jacksonville, FL

NPI number 1043626153 Active

Practice location

11643 Beach Blvd, Unit A
Jacksonville, FL 32246

Fax (904) 619-6227

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PH28291 (FL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Pich KTM CorpCommunity/Retail Pharmacy Jacksonville, FL NPI 1801354832

Other community/retail pharmacy providers in Jacksonville

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NPI record

NPI: 1043626153
Entity type: Organization (Type 2)
Issued: Jul 9, 2014
Last updated: May 1, 2023
Status: Active

Other names

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Medtown Pharmacy · doing business as
Medtown Pharmacy · doing business as

Authorized official

Mr. Chen Oeur, RPH
Pharmacist/pharmacy Owner
(904) 551-5870

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043626153

Pich KTM Corp's National Provider Identifier is 1043626153, issued on Jul 9, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jacksonville, FL. The record was last updated on May 1, 2023.