| NPI | 1063903672 |
|---|---|
| Doing Business As | FAMILY HEALTH SOURCE |
| Entity Type | Organization |
| Authorized Contact | LAURIE ASBURY CEO 386-202-6025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-05-06 |