MEDICARE: POSEY PROFESSIONAL SERVICES

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	3336L0003X	Long Term Care Pharmacy	PH12824	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PH12824	OTHER	FL	FLORIDA PHARMACY LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548206055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSEY PROFESSIONAL SERVICES

Provider Business Mailing Address
First Line	:	5314A FRANK HOUGH RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-2031
Country	:	US
Telephone Number	:	850-785-1900
Fax Number	:	850-913-9352

Provider Business Practice Location Address
First Line	:	5314A FRANK HOUGH RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-2031
Country	:	US
Telephone Number	:	850-785-1900
Fax Number	:	850-913-9352

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MR. GARY M POSEY
Credential	:	RPH
Telephone Number	:	850-785-1900

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/22/2020

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Directions to “POSEY PROFESSIONAL SERVICES ” Practice Location

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