Organization
ENGLEWOOD SPECIALTY PHARMACY
Active
Organization
ENGLEWOOD SPECIALTY PHARMACY
Active
Other names
Gulf Coast Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN EDWARD FARRIS RPH. (OWNER)
(941) 255-3784
Entity
Organization
Contact information
Practice address
21234 OLEAN BLVD, SUITE 6, PORT CHARLOTTE, FL 33952-6752
(941) 255-3784
(941) 255-3724
Mailing address
21234 OLEAN BLVD, SUITE 6, PORT CHARLOTTE, FL 33952-6752
(941) 255-3784
(941) 255-3724
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19429
FL
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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