| NPI | 1093890295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J BRESNAHAN President 800-995-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH15735) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20156) |
| 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: FL PH16308) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-04-29 |