Provider Demographics
NPI:1427156488
Name:ALLIGOOD, CALLAS EARL JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CALLAS
Middle Name:EARL
Last Name:ALLIGOOD
Suffix:JR
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 1:1706 BELLEAIR FOREST DR
Mailing Address - Street 2:BUILDING #2 UNIT #218
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-7745
Mailing Address - Country:US
Mailing Address - Phone:727-398-6661
Mailing Address - Fax:
Practice Address - Street 1:1706 BELLEAIR FOREST DR
Practice Address - Street 2:BUILDING #2 UNIT #218
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-7745
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-21526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist