| NPI | 1215575527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MALONE Owner/Pharmacy Manager 850-752-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2021-04-30 |