Organization Name: | GULF COAST PHARMACY, LLC |
NPI Number: | 1275960213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN RAYMOND DOBBS (PHARMACY MANAGER, PRESIDENT) |
Mailing Address: | 6631 Orion Dr Suite 112 Fort Myers |
State: | FL US |
Postal Code: | 339124333 |
Phone Number: | 2396907700 |
Fax Number: | 2392882578 |
NPI Enumeration Date: | 10/04/2013 |
NPI Last Update Date: | 01/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |