NPI | 1053656207 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA GALCERAN Operations Manager 407-451-7624 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CO 17022) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-12-17 |