Organization
GUARDIAN PHARMACY OF NW FLORIDA
Active
Other names
Guardian Pharmacy of NW Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUNN (PRESIDENT)
(850) 306-3003
Entity
Organization
Contact information
Practice address
212 N WILSON ST, CRESTVIEW, FL 32536-3438
(850) 306-3003
(850) 306-3004
Mailing address
GUARDIAN PHARMACY OF NW FLORIDA DEPT 2401, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
(404) 389-1316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH25396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003506200
—
FL
01
—
2129820
PK
—
Enumeration date
01/26/2011
Last updated
07/21/2022
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