Individual provider · Type 1 NPI

Stephanie Nicole Gofourth, PharmD

Pharmacist · Jacksonville, FL

NPI number 1710350293 Active

Practice location

1190 Dunn Ave
Jacksonville, FL 32218-4832

Call (904) 751-4346 Map

Mailing address

907 8th Ave N
Jacksonville Beach, FL 32250-4639

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X72618 (CA)
Pharmacist Primary 183500000X50956 (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 1710350293

Stephanie Nicole Gofourth, PharmD's National Provider Identifier is 1710350293, issued on Nov 5, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 1, 2020.