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

St Lukes - St Vincents Healthcare

Organization Community/Retail Pharmacy · NPI 1790879732

St Lukes - St Vincents Healthcare is a Community/Retail Pharmacy in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1 Shircliff Way Ste 1734
Jacksonville, FL 32204
Phone: (904) 308-7515
Fax: (904) 308-7514
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1790879732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Coba Cornejo — Chief Operating Officer · (803) 463-5837
Other names Ascension Rx 1403
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 26, 2024
Mailing address1 Shircliff Way, Ste 1734, Jacksonville, FL 32204

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