| NPI | 1053409284 |
|---|---|
| Doing Business As | MAITLAND PRESCRIPTION SHOPPE |
| Entity Type | Organization |
| Authorized Contact | JULIAN LAMAR FOLSOM Owner 407-539-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 14494) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL 10569) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-02-29 |