NPI | 1184499303 |
---|---|
Entity Type | Organization |
Authorized Contact | NUGGET FRIMPONG Owner 727-366-7384 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2023-11-17 |
Last Update Date | 2024-03-16 |