| NPI | 1174645477 |
|---|---|
| Doing Business As | MED 1ST |
| Entity Type | Organization |
| Authorized Contact | TERENCE WILLIAMS Co Owner 727-375-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: FL PH22474) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-08-31 |