Organization
QRCPC PHARMACY, INC
Active
Other names
Vital Care of Panama City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM R. MIXON (PRESIDENT)
(850) 388-4333
Entity
Organization
Contact information
Practice address
5620 CHERRY ST STE A, PANAMA CITY, FL 32404-6734
(850) 388-4333
(850) 388-4338
Mailing address
5620 CHERRY ST STE A, PANAMA CITY, FL 32404-6734
(850) 388-4333
(850) 388-4338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
11/08/2021
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