Organization
GONCAN, INC
Active
Other names
SOUTH BAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODWIN A NWAOBI R.PH (PHARMACY MANAGER)
(561) 992-9220
Entity
Organization
Contact information
Practice address
155 US HIGHWAY 27 S, SOUTH BAY, FL 33493-2213
(561) 992-9220
(561) 992-9330
Mailing address
155 US HIGHWAY 27 S, SOUTH BAY, FL 33493-2213
(561) 992-9220
(561) 992-9330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH13892
FL
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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