| Name | Value |
|---|---|
| NAME | JACKSONVILLE PHARMACY |
| STATE | FLORIDA |
| STREET ADDR. 1 | 1536 N JEFFERSON ST |
| CITY | Jacksonville |
| ZIP | 32209-6525 |
| OFFICIAL VA NAME | Jacksonville Pharmacy |
| STATUS | National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME | JACKSONVILLE VA CLINIC PHARMACY |
| EFFECTIVE DATE/TIME |
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE | EASTERN |
| COUNTRY | USA |
| AGENCY CODE | VA |
| POINTER TO AGENCY | VA |
| IDENTIFIER |
|