| NPI | 1194589341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CRAIG Director Of Billing 321-698-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-04-04 |