Healthcare Provider Details

I. General information

NPI: 1306756192
Provider Name (Legal Business Name): MARIAN CLAYBAUGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 N DAVIS HWY
PENSACOLA FL
32514-6039
US

IV. Provider business mailing address

2655 BELLE CHRISTIANE CIR
PENSACOLA FL
32503-5860
US

V. Phone/Fax

Practice location:
  • Phone: 850-494-4000
  • Fax:
Mailing address:
  • Phone: 850-382-4661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberPS56950
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: