| NPI | 1043748783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN VEGA Member 850-797-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114709) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |