GOLDEN PHARMACYINC NPI 1174624365

NPI Information

  • NPI: 1174624365
  • Provider Name: GOLDEN PHARMACY,INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 17324 MAIN ST N
    BLOUNTSTOWN, FL
    ZIP 32424
  • Phone: (850) 674-4557

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NPI Details

GOLDEN PHARMACY,INC is a pharmacy in Blountstown, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GOLDEN PHARMACY,INC NPI is 1174624365. The provider is registered as an organization entity type.

The provider's business location address is:

17324 MAIN ST N
BLOUNTSTOWN, FL
ZIP 32424-763
Phone: (850) 674-4557
Fax: (850) 674-4568

The provider's authorized official is Clifford D Goodman .
The authorized official title is Owner/pharmacist and has the following contact phone number (850) 674-4557.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 5/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesPH11672FLORIDANo
2333600000XPharmacyPH11672FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10516500001MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
21067190OTHERFLORIDANABP
3101195200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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