Organization
ENSLEY PHARMACY INC
Active
Other names
Ensley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON MCDONALD BPHARM (PRESIDENT)
(850) 473-0428
Entity
Organization
Contact information
Practice address
8814 N PALAFOX ST # C, PENSACOLA, FL 32534-3029
(850) 473-0428
(850) 473-3958
Mailing address
5740 WESTMONT RD, MILTON, FL 32583-2333
(850) 982-9087
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH16642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145514
PK
—
Enumeration date
03/08/2006
Last updated
04/29/2016
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