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Emerald Coast Infectious Diseases Medical Group, Pa
Community/Retail Pharmacy in Fort Walton Beach, Florida
NPI 1154773950

Emerald Coast Infectious Diseases Medical Group, Pa is a Community/Retail Pharmacy based in Grapevine, FL and is specialized in Community/Retail Pharmacy. Emerald Coast Infectious Diseases Medical Group, Pa practices in Fort Walton Beach, FL. The NPI Number for Emerald Coast Infectious Diseases Medical Group, Pa is 1154773950 and holds a License No. PH30219 (Florida).

The current practice location address for Emerald Coast Infectious Diseases Medical Group, Pa is 917 Mar Walt Drive, Fort Walton Beach, FL and can be reached out via phone at 850-312-3570 and via fax at 850-312-3090.

Location: 917 Mar Walt Drive, Fort Walton Beach, FL, 76051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154773950
Provider Name
Emerald Coast Infectious Diseases Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
917 Mar Walt Drive, Fort Walton Beach, FL, 76051
Phone Number
850-312-3570
Fax Number
850-312-3090
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2160919 01 PK
institution
Provider Business Practice Location Address Details
Address
917 Mar Walt Drive
City
Fort Walton Beach
State
Florida
Zip
32547-6651
Phone Number
850-312-3570
Fax Number
850-312-3090
person
Provider Business Mailing Address Details
Address
917 Mar Walt Drive
City
Fort Walton Beach
State
Florida
Zip
32547-6651
Phone Number
850-312-3570
Fax Number
850-312-3090
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PH30219 (Florida)
Definition
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.
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