| NPI | 1194849240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE PAQUETTE Medical Director 850-644-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH8293) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |