NPI | 1043260714 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH MUNCHEL President 863-398-8169 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21854) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-08-22 |