| NPI | 1003130840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD GOODMAAN CEO 850-576-4073 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH24528) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2014-07-29 |