| NPI | 1124129051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBURN TURNER DAVIS President 850-942-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH18508) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |