MEDICARE: G & B PHARMACIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS 19425	FL

General Provider Information

NPI Number	:	1275564288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G & B PHARMACIES, INC.

Provider Business Mailing Address
First Line	:	3127 E HIGHWAY 98
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-5415
Country	:	US
Telephone Number	:	850-769-3177
Fax Number	:	850-769-3813

Provider Business Practice Location Address
First Line	:	3127 E HIGHWAY 98
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-5415
Country	:	US
Telephone Number	:	850-769-3177
Fax Number	:	850-769-3813

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. GARY HUGH GRANT
Credential	:	RPH
Telephone Number	:	850-769-3177

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	11/13/2007

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