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NPI Code Detail

MEDICARE: PANCARE OF FLORIDA, INC

MEDICARE: PANCARE OF FLORIDA, 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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH32055OTHERFLBOARD OF PHARMACY
2PH32000OTHERFLBOARD OF PHARMACY

General Provider Information

NPI Number : 1336704196
Entity Type Code : Organization
Provider Name (Legal Business Name) : PANCARE OF FLORIDA, INC
Provider Business Mailing Address
First Line : 2309 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-6345
Country : US
Telephone Number : 850-818-0455
Fax Number : 850-215-3354
Provider Business Practice Location Address
First Line : 2235 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-6023
Country : US
Telephone Number : 850-818-0455
Fax Number : 850-215-3354
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : LORI BARTON
Credential :
Telephone Number : 850-818-0455
Provider Enumeration Date : 05/07/2019
Last Update Date : 07/11/2024

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Directions to “PANCARE OF FLORIDA, INC ” Practice Location

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