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Organization

PANCARE OF FLORIDA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES FLOWERS (PHARMACY DIRECTOR)
(850) 818-0455
Entity
Organization

Contact information

Practice address
5336 10TH ST, MALONE, FL 32445-3429
(850) 569-2021
(850) 569-2022
Mailing address
5336 10TH ST, MALONE, FL 32445-3429
(850) 569-2021
(850) 569-2022

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH32055
BOARD OF PHARMACY
FL
Enumeration date
05/07/2019
Last updated
09/11/2019
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