| NPI | 1184040628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C SCHANDEL CEO/President 386-676-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: FL PH27410) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2023-10-26 |