Organization · Type 2 NPI

Jencare Neighborhood Medical South Park LLC

Non-Pharmacy Dispensing Site · Colonial Heights, VA

NPI number 1134489214 Active

Practice location

524 Southpark Blvd
Colonial Heights, VA 23834-3609

Call (305) 653-1770 Map

Mailing address

1395 NW 167th St
Miami, FL 33169-5710

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Non-Pharmacy Dispensing Site Primary 332900000XNone listed
Community/Retail Pharmacy 3336C0003XNone listed

Non-Pharmacy Dispensing Site: 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.)

15 other providers at this address

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About NPI 1134489214

Jencare Neighborhood Medical South Park LLC's National Provider Identifier is 1134489214, issued on May 22, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Colonial Heights, VA. The record was last updated on Feb 20, 2025.