Organization
QRCPC PHARMACY, INC
Active
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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