Organization
THE APOTHECARY OF GULFPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN V KELLEY R.PH. (OWNER)
(727) 321-3000
Entity
Organization
Contact information
Practice address
5802 28TH AVE S, GULFPORT, FL 33707-5227
(727) 321-3000
(727) 344-5620
Mailing address
5802 28TH AVE S, GULFPORT, FL 33707-5227
(727) 321-3000
(727) 344-5620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS15676
FL
333600000X
Pharmacy
Primary
PH1331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048861
NABP
FL
05
—
105203900
—
FL
Enumeration date
12/01/2005
Last updated
03/08/2012
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