Provider Demographics
NPI:1801353529
Name:ANDREASSI, BLAIR CALVIN (PHARMD)
Entity type:Individual
Prefix:
First Name:BLAIR
Middle Name:CALVIN
Last Name:ANDREASSI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 MILL POINT LN
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-2575
Mailing Address - Country:US
Mailing Address - Phone:914-960-3199
Mailing Address - Fax:
Practice Address - Street 1:2600 VETERANS WAY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32408-7186
Practice Address - Country:US
Practice Address - Phone:850-636-7114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS64329183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPSI38959OtherFLORIDA PHARMACIST INTERN