| NPI | 1114437936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MARVIN MCCREIGHT Pharmacist 321-316-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |