| NPI | 1013287374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E GOLUBIC Pharmacy Technician 877-490-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL RPT35003) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |