| NPI | 1235709627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL PATRICK INWANG Pharmacist In Charge 850-222-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-07-30 |