Healthcare Provider Details

I. General information

NPI: 1568505089
Provider Name (Legal Business Name): CANTONMENT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 S HIGHWAY 29
CANTONMENT FL
32533-1401
US

IV. Provider business mailing address

433 S HIGHWAY 29
CANTONMENT FL
32533-1401
US

V. Phone/Fax

Practice location:
  • Phone: 850-968-9992
  • Fax: 850-968-0459
Mailing address:
  • Phone: 850-968-9992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPH10065
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH10065
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH2748
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN THOMAS READING
Title or Position: OWNER
Credential:
Phone: 850-968-9992