Callaway Gulf Coast Pharmacy Co
Pharmacy, Community/Retail Pharmacy in Panama City, FL. Organization (NPI-2).
NPI number1790162311
StatusActive
Last updated in NPPESFeb 4, 2021
Details
- NPI
- 1790162311
- Entity type
- Organization (NPI-2)
- Legal business name
- Callaway Gulf Coast Pharmacy Co
- Organization subpart
- No
- Enumeration date
- May 4, 2015
- Certification date
- Feb 4, 2021
- Last updated
- Feb 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH29076 | FL | Yes |
Other names
- Callaway Gulf Coast Pharmacy (Doing Business As)
Practice location
420 N Tyndall PkwyPanama City, FL 32404-6125
Phone 850-615-2000
Mailing address
420 N Tyndall PkwyPanama City, FL 32404-6125
Phone 850-615-2000
Authorized official
Adel Ebrahim
President
8503193238
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