Individual provider · Type 1 NPI

Amanda Jean Ballentine, RPH

Pharmacist · Jacksonville, FL

NPI number 1114854759 Active

Practice location

1652 San Marco Blvd
Jacksonville, FL 32207-3002

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS37093 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1114854759

Amanda Jean Ballentine, RPH's National Provider Identifier is 1114854759, issued on May 7, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on May 7, 2026.