NPI 1003084070

Radhakrishna Gorle

Practitioner Pharmacist Jacksonville, FL

Practice location

Address: 8560 Argyle Forest Blvd, Jacksonville, FL 32244-5997
Phone: (904) 779-7700
Fax: (904) 777-3054
Mailing address: 10010 Belle Rive Blvd APT 108, Jacksonville, FL 32256-9516

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS43364 (FL)

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Registry record

NPI: 1003084070
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2008
Record last updated: 13 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.