Provider Demographics
NPI:1417355751
Name:BARRANCAS PHARMACY INC
Entity Type:Organization
Organization Name:BARRANCAS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KULMEET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BINDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-462-8605
Mailing Address - Street 1:3420 BARRANCAS AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-2355
Mailing Address - Country:US
Mailing Address - Phone:850-462-8605
Mailing Address - Fax:
Practice Address - Street 1:3420 BARRANCAS AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-2355
Practice Address - Country:US
Practice Address - Phone:850-462-8605
Practice Address - Fax:850-462-8567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH285873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy