| NPI | 1023574407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE BLANCHARD Corporate Manager, Retail Pharmacy 321-843-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |