Individual
CHANDRA CLAY GORAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
8970 PENSACOLA BLVD, PENSACOLA, FL 32534-1927
(850) 484-3777
Mailing address
8970 PENSACOLA BLVD, PENSACOLA, FL 32534-1927
(850) 484-3777
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
FL
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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