Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Av Pharma LLC

Organization Compounding Pharmacy · NPI 1629589908

Av Pharma LLC is a Compounding Pharmacy in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1545 University Blvd N Ste C
Jacksonville, FL 32211-5229
Phone: (904) 440-0611
Fax: (904) 323-4083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X

Record details

NPI number1629589908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vipul Mamtora — Member Manager · (904) 440-0611
Other names Citizen Pharmacy # 712
NPI enumeratedOctober 13, 2017
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing addressPo Box 600047, Jacksonville, FL 32260-0047

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