# PUTNAM COMMUNITY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Putnam Community Medical Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295154185
- **Authorized official:** GAIL KING (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (386) 326-8451

## Contact information

- **Practice address:** 611 ZEAGLER DR, PALATKA, FL 32177-3810
- **Practice address phone:** (386) 326-8450
- **Practice address fax:** (386) 326-8484
- **Mailing address:** 611 ZEAGLER DR, PALATKA, FL 32177-3810
- **Mailing address phone:** (386) 326-8450
- **Mailing address fax:** (386) 326-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | PH17363 | FL | Yes |

## Other

- **Enumeration date:** 04/08/2014
- **Last updated:** 04/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2145072 | PK | — |