| NPI | 1134359805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A NICHOLS Pharmacist / President 941-524-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24132) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2023-03-07 |