NPI | 1205177607 |
---|---|
Doing Business As | AVENUE PHARMACY |
Entity Type | Organization |
Authorized Contact | PAUL FRANCK Owner 352-624-2779 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26742) |
Enumeration Date | 2013-03-09 |
Last Update Date | 2019-02-06 |