Organization
SOUTHERN MERIDIAN INC
Active
Other names
Santa Rosa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DALE BANDY RPH (OWNER)
(850) 622-3313
Entity
Organization
Contact information
Practice address
19 TOWN CENTER LOOP, SANTA ROSA BEACH, FL 32459-0700
(850) 622-3313
(850) 622-3255
Mailing address
19 TOWN CENTER LOOP, SANTA ROSA BEACH, FL 32459-0700
(850) 622-3313
(850) 622-3255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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