NPI | 1083966105 |
---|---|
Doing Business As | GULF SHORE APOTHECARY |
Entity Type | Organization |
Authorized Contact | ALEXANDER HERWIG President 239-514-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26516) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2023-06-02 |