10D2218982 CLIA NUMBER - GULF PHARMACY CORP

Laboratory Demographics

CLIA Number: 10D2218982

Facility Name: GULF PHARMACY CORP

Facility Address:
340 W 23RD ST SUITE D2
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 615-1000

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1164742334

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 10D2218982
LAB Type Pharmacy
Facility Name GULF PHARMACY CORP
Street 340 W 23RD ST SUITE D2
City PANAMA CITY
State FL
ZIP 32405
Phone 850 615-1000
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024