| NPI | 1043375389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE ROJAS Associate Chief, Pharmacy Services 850-283-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0202205849) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-06-13 |