Organization
MEDICAL CENTER PHARMACY INC OF QUINCY
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN GAINEY MASSEY RPH (OWNER)
(850) 627-7595
Entity
Organization
Contact information
Practice address
306 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 627-7595
(850) 875-1977
Mailing address
306 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 627-7595
(850) 875-1977
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH8793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314300
—
FL
01
—
1019961
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1019961
—
FL
Enumeration date
02/28/2007
Last updated
05/02/2011
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