| NPI | 1902652068 |
|---|---|
| Doing Business As | PANAMA PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOSEPH DUANE Owner 904-765-3531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |