Organization
LANDMARK DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S FAIRMAN (OWNER)
(850) 433-5404
Entity
Organization
Contact information
Practice address
2501 W CERVANTES ST, PENSACOLA, FL 32505-7152
(850) 433-5404
Mailing address
2501 W CERVANTES ST, PENSACOLA, FL 32505-7152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH16759
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH16759
FL
333600000X
Pharmacy
PH16759
FL
3336C0003X
Community/Retail Pharmacy
PH16759
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH16759
FL
3336L0003X
Long Term Care Pharmacy
PH16759
FL
3336M0002X
Mail Order Pharmacy
PH16759
FL
3336S0011X
Specialty Pharmacy
PH16759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021728000
—
FL
05
—
021728001
—
FL
01
—
P6138
BCBS
FL
Enumeration date
08/17/2006
Last updated
04/03/2012
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