Provider Demographics
NPI:1255799904
Name:OSPREY PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:OSPREY PHARMACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-617-1953
Mailing Address - Street 1:PO BOX 41649
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32203-1649
Mailing Address - Country:US
Mailing Address - Phone:888-617-1953
Mailing Address - Fax:888-634-9478
Practice Address - Street 1:50 N LAURA ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-3664
Practice Address - Country:US
Practice Address - Phone:888-617-1953
Practice Address - Fax:888-634-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy