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General NPI Number Information
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NPI Number | 1023320249
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Entity Type | Organization
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Legal Business Name | PANAMA DRUGS INC
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 3127 E HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32401-5415
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Country | US
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Telephone | 850-785-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 W 15TH ST STE D
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City | PANAMA CITY
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State | FL
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Zip | 32401-1500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISMAIL MOHAMED
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Credential |
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Telephone | 850-532-4820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24706
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License Number State | FL
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