Organization · Type 2 NPI

Susan Dubose

Pharmacy · Macclenny, FL

NPI number 1366721904 Active

Practice location

1436 S 6th St
Macclenny, FL 32063-4623

Fax (904) 259-5275

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XEH11591 (FL)

Pharmacy: 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 lo…

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About NPI 1366721904

Susan Dubose's National Provider Identifier is 1366721904, issued on Aug 14, 2011. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Macclenny, FL. The record was last updated on Aug 14, 2011.