| NPI | 1083044796 |
|---|---|
| Doing Business As | GULF SHORE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HERWIG Owner 239-262-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |