NPI | 1275671265 |
---|---|
Doing Business As | PANAMA PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN DUANE Pharmacist In Charge 904-765-3531 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH12126) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2021-09-25 |