Organization
MARANDO INC
Active
Other names
FIRESIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HOLLEY (PRESIDENT)
(850) 432-2092
Entity
Organization
Contact information
Practice address
5507 N W ST, PENSACOLA, FL 32505-2435
(850) 432-2092
(850) 436-4033
Mailing address
5507 N W ST, PENSACOLA, FL 32505-2435
(850) 432-2092
(850) 436-4033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH0009792
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046083
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
10510900
—
FL
Enumeration date
08/31/2006
Last updated
09/11/2025
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