NPI | 1134413560 |
---|---|
Doing Business As | BUSHNELL PHARMACY |
Entity Type | Organization |
Authorized Contact | JACK DIAMOND Pharmacy Manager 352-569-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph25415) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2011-06-02 |
Last Update Date | 2023-06-08 |