| NPI | 1467954438 |
|---|---|
| Doing Business As | PANAMA PHARMACY #2 |
| 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 |