Organization · Type 2 NPI

Chronic Pain Management Dispensary

Non-Pharmacy Dispensing Site · Jacksonville, FL

NPI number 1952587172 Active

Practice location

1660 Blanding Blvd
Jacksonville, FL 32210-1835

Mailing address

PO Box 4688
Fort Lauderdale, FL 33338-4688

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XME71405 (FL)

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.)

3 other providers at this address

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About NPI 1952587172

Chronic Pain Management Dispensary's National Provider Identifier is 1952587172, issued on Jan 17, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Jacksonville, FL. The record was last updated on May 7, 2008.