| NPI | 1194260661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ALBIBI Pharmacy Manager/Owner 850-381-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-01-20 |