Organization · Type 2 NPI

Cleveland Randolph, Jr, Md, PA

Pharmacy · Jacksonville Beach, FL

NPI number 1629467782 Active

Practice location

1891 Beach Blvd
Jacksonville Beach, FL 32250-2644

Fax (904) 249-2047

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XPH28647 (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 1629467782

Cleveland Randolph, Jr, Md, PA's National Provider Identifier is 1629467782, issued on Jan 13, 2015. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Jan 13, 2015.