| NPI | 1124117817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HOWARD VP 407-852-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY PO6624) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-10-31 |