| NPI | 1073921896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E STAFFORD President 904-619-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH 26904) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |