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

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Florida Department of Corrections (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2005010OtherPK

Other names

  • NORTH FLORIDA RECEPTION CENTER Doing business as

Other providers in Lake Butler, FL

All providers in Lake Butler, FL · Institutional Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.