Organization
BPSG L.L.C.
Active
Other names
St. Andrews Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L. RAFFIELD R.PH. (OWNER/PHARMACY MANAGER)
(850) 215-7676
Entity
Organization
Contact information
Practice address
1401 W 15TH ST, PANAMA CITY, FL 32401-1739
(850) 215-7676
(850) 215-7683
Mailing address
1401 W 15TH ST, PANAMA CITY, FL 32401-1739
(850) 215-7676
(850) 215-7683
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH21695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH21695
PHARMACY LICENSE
FL
Enumeration date
12/28/2005
Last updated
02/21/2008
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