| 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 |