Organization Name: | GOLDEN PHARMACY,INC |
NPI Number: | 1174624365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLIFFORD D GOODMAN (OWNER/PHARMACIST) |
Mailing Address: | 17324 Main St N Blountstown |
State: | FL US |
Postal Code: | 324241763 |
Phone Number: | 8506744557 |
Fax Number: | 8506744568 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PH11672 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |