Organization
HOME CARE PHARMACY OF PALM COAST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S CORGAN RPH (OWNER)
(386) 445-1212
Entity
Organization
Contact information
Practice address
6 FLORIDA PARK DR N, SUITE A, PALM COAST, FL 32137-3890
(386) 445-1212
(386) 446-5851
Mailing address
6 FLORIDA PARK DR N, SUITE A, PALM COAST, FL 32137-3890
(386) 445-1212
(386) 446-5851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH10063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109782201
—
FL
Enumeration date
07/13/2006
Last updated
12/28/2021
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