CALLAWAY GULF COAST PHARMACY CO NPI 1790162311

NPI Information

  • NPI: 1790162311
  • Provider Name: CALLAWAY GULF COAST PHARMACY CO
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: CALLAWAY GULF COAST PHARMACY
  • Address: 420 N TYNDALL PKWY
    PANAMA CITY, FL
    ZIP 32404
  • Phone: (850) 615-2000

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NPI Details

CALLAWAY GULF COAST PHARMACY CO is a community/retail pharmacy pharmacy in Panama City, FL. The provider is 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. CALLAWAY GULF COAST PHARMACY CO NPI is 1790162311. The provider is registered as an organization entity type.
The provider Is Doing Business As Callaway Gulf Coast Pharmacy.

The provider's business location address is:

420 N TYNDALL PKWY
PANAMA CITY, FL
ZIP 32404-125
Phone: (850) 615-2000

The provider's authorized official is Adel Ebrahim .
The authorized official title is President and has the following contact phone number (850) 319-3238.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 2/4/2021.

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
13336C0003XPharmacyCommunity/Retail PharmacyPH29076FLORIDAYes

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
12151701OTHERPK

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: 3/30/2025

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