MEDICARE: PANAMA CITY DRUGS CORP

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	333600000X	Pharmacy	PH26428	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PH26428	OTHER	FL	PHARMACYLICENSE NUMBER

General Provider Information

NPI Number	:	1285987982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANAMA CITY DRUGS CORP

Provider Business Mailing Address
First Line	:	3127 E HIGHWAY 98
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-5415
Country	:	US
Telephone Number	:	850-615-5000
Fax Number	:

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	:	850-615-5000
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. MAGED SHALABY
Credential	:
Telephone Number	:	850-615-5000

Provider Enumeration Date	:	10/18/2012
Last Update Date	:	10/22/2020

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Directions to “PANAMA CITY DRUGS CORP ” Practice Location

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