Organization
SKP LLC
Active
Other names
GULFPORT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAPAN PATEL PHARMACIST (PHARMACIST IN CHARGE)
(727) 223-1075
Entity
Organization
Contact information
Practice address
5004 GULFPORT BLVD S, GULFPORT, FL 33707-4942
(727) 223-1075
(727) 388-8217
Mailing address
5004 GULFPORT BLVD S, GULFPORT, FL 33707-4942
(727) 223-1075
(727) 388-8217
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH28610
STATE OF FLORIDA, DEPARTMENT OF HEALTH, PHARMACY LICENSE
FL
Enumeration date
08/09/2014
Last updated
04/01/2015
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