| NPI | 1669667424 |
|---|---|
| Former Legal Business Name | PENSACOLA APOTHECARY, INC. |
| Entity Type | Organization |
| Authorized Contact | BRANDON CONTI PIC 850-712-7659 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH19748) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2023-08-17 |