NPI | 1104198688 |
---|---|
Doing Business As | DURBIN PHARMACY |
Entity Type | Organization |
Authorized Contact | OM TSM Managing Member/Owner 904-619-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25921) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-01-31 |
Last Update Date | 2016-03-03 |