NPI | 1093029530 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DOOLEY Owner 850-585-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 113412) |
Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy |
Enumeration Date | 2010-07-26 |
Last Update Date | 2011-04-01 |