North Florida Reception Center
Organization Active NPI Institutional Pharmacy · Lake Butler, FL
NPI 1083809883 · NPPES record last updated Mar 13, 2015
Key facts
- NPI
- 1083809883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- PH2387 (FL)
- Legal business name
- NORTH FLORIDA RECEPTION CENTER
- Practice address
- 7765 S County Road 231
Dept of Corrections
Lake Butler, FL 32054-5721 - Phone
- (386) 496-6532
- Fax
- (386) 496-6081
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Susan Moulder, RPH
- Title
- Pharmacy Manager
- Phone
- (386) 496-6534
Corporate family (same tax ID) 1
Practitioners 1
-
Jeffery David Render, DDS
National Provider Directory
- Tax ID family
- Florida Department of Corrections
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Institutional Pharmacy | 3336I0012X | PH2387 | FL | Yes |
Addresses
Primary practice location
7765 S County Road 231
Dept of Corrections
Lake Butler, FL 32054-5721
Mailing address
PO Box 628
Lake Butler, FL 32054-0628
Phone (386) 496-6532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005010 | Other | PK |
Other names
- NORTH FLORIDA RECEPTION CENTER
Other providers in Lake Butler, FL
- Kevin Nantz
- Ashley C Nelson
- New River Community Health Care, Inc
- Gloria Lynn Niquette
- North Florida Medical Corp.
- Ashley Diane Osteen
- Jamie Lynn Parrish
- Amy Lee Pendleton
- Sandra Kay Pennington
- Debbie O'Reilly Pyles
All providers in Lake Butler, FL · Institutional Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.