| NPI | 1104911072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE E SCANLON VP Of Pharmacy 863-688-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2026-02-17 |