| NPI | 1134427727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEE DEGRAY Billing, Compliance 407-440-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2026-03-09 |