Organization
CENTANNI ENTERPRISES INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS CENTANNI R.PH. (PHARMACIST)
(850) 951-0859
Entity
Organization
Contact information
Practice address
674 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3349
(850) 951-0859
(850) 951-1097
Mailing address
674 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH0015912
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH0015912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106361800
—
FL
05
—
106361801
—
FL
01
—
1082976
NCPDP
FL
Enumeration date
03/09/2007
Last updated
03/07/2023
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