Provider Demographics
NPI:1235147273
Name:CARRABELLE MEDICAL PHARMACY
Entity Type:Organization
Organization Name:CARRABELLE MEDICAL PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:RABINOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:REG CERTIFIED PHARMA
Authorized Official - Phone:850-697-2169
Mailing Address - Street 1:PO BOX 567
Mailing Address - Street 2:
Mailing Address - City:CARRABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:32322-0567
Mailing Address - Country:US
Mailing Address - Phone:850-697-2169
Mailing Address - Fax:850-697-5353
Practice Address - Street 1:206 MARINE STREET SE
Practice Address - Street 2:
Practice Address - City:CARRABELLE
Practice Address - State:FL
Practice Address - Zip Code:32322-0567
Practice Address - Country:US
Practice Address - Phone:850-697-2169
Practice Address - Fax:850-697-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty