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

Marietta Pharmacy LLC

Organization Pharmacy · NPI 1912253774

Marietta Pharmacy LLC is a Pharmacy in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
3
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

8299 W Beaver St Ste 5
Jacksonville, FL 32220-2315
Phone: (904) 999-4884
Fax: (904) 999-4883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH26285 (FL)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1912253774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hanesh Patel — Rxm · (904) 999-4884
Other names Marietta Pharmacy; Marietta Pharmacy
NPI enumeratedJuly 31, 2012
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address8299 W Beaver St Ste 5, Jacksonville, FL 32220-2315

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