| NPI | 1043752173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA A GORKEN VP, PFS 727-281-9390 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ZZ ME58834) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-01-07 |