Individual provider · Type 1 NPI

Marc Owen Raitt, R.PH.

Pharmacist · Jacksonville, FL

NPI number 1467552604 Active

Practice location

3627 University Blvd S
Jacksonville, FL 32216-4230

Call (904) 399-6171 Map

Fax (904) 399-6004

Mailing address

6850 Caballero Dr
Jacksonville, FL 32217-2741

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS 15502 (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 1467552604

Marc Owen Raitt, R.PH.'s National Provider Identifier is 1467552604, issued on Sep 25, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.