NPI | 1124810908 |
---|---|
Doing Business As | LONGEVITY SCRIPTS |
Entity Type | Organization |
Authorized Contact | HENRY THOMAS KEITH CEO 407-839-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-06-19 |