Organization
WESTERN FLORIDA PHARMACY LLC
Active
Other names
Western Florida Pharmacy,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHANDLER (COO)
(251) 510-7466
Entity
Organization
Contact information
Practice address
5001 COMMERCE PARK CIR, SUITE B, PENSACOLA, FL 32505-1659
(850) 266-9282
Mailing address
5001 COMMERCE PARK CIR, SUITE B, PENSACOLA, FL 32505-1659
(850) 266-9282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH28320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146876
PK
—
Enumeration date
07/17/2014
Last updated
11/14/2014
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