Provider Demographics
NPI:1295167112
Name:MCINTOSH, KERRY-ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:KERRY-ANN
Middle Name:
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7512 LEM TURNER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-3353
Mailing Address - Country:US
Mailing Address - Phone:904-924-9019
Mailing Address - Fax:904-768-7268
Practice Address - Street 1:7512 LEM TURNER RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-3353
Practice Address - Country:US
Practice Address - Phone:904-924-9019
Practice Address - Fax:904-768-7268
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist