Organization
CALLAHAN PHARMACY INC
Active
Other names
callahan pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLA ADAM (PRESIDENT/PHARMACIST IN CHARGE)
(904) 651-0055
Entity
Organization
Contact information
Practice address
450077 STATE ROAD 200, CALLAHAN, FL 32011-3863
(904) 628-0365
(904) 628-0380
Mailing address
2704 SECRET HARBOR DR, ORANGE PARK, FL 32065-7675
(904) 651-0055
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002370200
—
FL
01
—
2124046
PK
—
Enumeration date
01/28/2010
Last updated
02/20/2017
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