NPI | 1467954438 |
---|---|
Doing Business As | PANAMA PHARMACY #2 |
Doing Business As | PANAMA PHARMACY AT EMED |
Entity Type | Organization |
Authorized Contact | KEVIN DUANE Managing Member 904-990-1054 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31227) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2022-11-07 |