Organization
GULF PHARMACY CORP
Active
Other names
Gulf Coast Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAGED SHALABY (OWNER)
(347) 579-3500
Entity
Organization
Contact information
Practice address
340 W 23RD ST, SUITE D2, PANAMA CITY, FL 32405-7600
(850) 215-9900
(850) 215-3344
Mailing address
PO BOX 15473, PANAMA CITY, FL 32406-5473
(850) 615-1000
(850) 215-3344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125416
PK
—
Enumeration date
06/10/2010
Last updated
03/01/2017
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