Organization
COOPERS DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHARPE (VICE PRESIDENT)
(292) 435-4571
Entity
Organization
Contact information
Practice address
700 E BUS HWY 98, PANAMA CITY, FL 32401-3514
(850) 763-2172
(850) 769-9601
Mailing address
700 E BUS HIGHWAY 98, PANAMA CITY, FL 32401-3514
(850) 763-2172
(850) 769-9601
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
PH1174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101063800
—
FL
Enumeration date
07/29/2005
Last updated
03/29/2024
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