Organization Name:  GALEN DRUG


Practice Location:
6401 DR MARTIN LUTHER KING JR ST N  ST PETERSBURG, FL 33702 US
Tel: 727-527-5778  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	3336L0003X	Suppliers Pharmacy Long Term Care Pharmacy
Y	3336C0003X	Suppliers Pharmacy	FL	PH18032

Other Provider Identifiers:

Issuer	Number	State	Type
OTHER ID NUMBER	1006647		01
	022829000	FL	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin