NPI | 1134140114 |
---|---|
Doing Business As | HUMANA PHARMACY 47909 |
Entity Type | Organization |
Authorized Contact | RAY FLOYD Manager 954-321-7888 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: FL PH10250) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |