| NPI | 1114305810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS ROBERTS MCMILLAN Manager/Pharmacist 850-224-5397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 1460) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |