| NPI | 1114009875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIC JOHNSON Chief Operating Officer 386-754-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23730) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-03-24 |