NPI | 1023854544 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WILLIAM JOHNSON General Manager/Pharmacist 407-644-1025 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-07-03 |