Organization
PANAMA DRUGS INC
Active
Other names
panama drugs
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL MOHAMED (PRESIDENT)
(850) 532-4820
Entity
Organization
Contact information
Practice address
3127 E HIGHWAY 98, PANAMA CITY, FL 32401-5415
(850) 785-0700
Mailing address
2303 W 15TH ST STE D, PANAMA CITY, FL 32401-1500
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700592
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/02/2010
Last updated
07/02/2010
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