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

Jie Song

Individual provider Pharmacist · NPI 1639779036

Jie Song is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

10991 San Jose Blvd
Jacksonville, FL 32223-6675
Phone: (904) 260-4407
Fax: (904) 880-8945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS54187 (FL)

Record details

NPI number1639779036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address10991 San Jose Blvd, Jacksonville, FL 32223-6675

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