| NPI | 1154678852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE C DANIEL President 904-730-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |