Provider Demographics
NPI:1104204973
Name:MCGAW, PAMELA JANE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JANE
Last Name:MCGAW
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 W NINE MILE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-9416
Mailing Address - Country:US
Mailing Address - Phone:850-473-0286
Mailing Address - Fax:
Practice Address - Street 1:2237 W NINE MILE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-9416
Practice Address - Country:US
Practice Address - Phone:850-473-0286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS22481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS22481OtherDEPARTMENT OF HEALTH