Organization
LANDMARK DRUGS, INC.
Active
Other names
VITAL CARE OF PENSACOLA
Organization subpart
No
Provider details
NPI number
Authorized official
S FAIRMAN (OWNER)
(850) 433-5404
Entity
Organization
Contact information
Practice address
2501 W CERVANTES ST, PENSACOLA, FL 32505-7152
(850) 433-5404
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH16759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P6138
BCBS
FL
Enumeration date
08/11/2006
Last updated
08/22/2020
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