| NPI | 1114133444 |
|---|---|
| Doing Business As | LONGEVITY SCRIPTS |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BASILE SHAW Pharmacy Controller 407-244-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-12-11 |