NPI | 1063069268 |
---|---|
Doing Business As | HEALTH PARK EAST PHARMACY |
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President & CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2023-11-27 |