| NPI | 1235150293 |
|---|---|
| Doing Business As | S FL STATE HOSP |
| Entity Type | Organization |
| Authorized Contact | DIANE FUNSTON Hosp Admin 954-392-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH16231) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-03-08 |