| NPI | 1235757576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY HOWARD Owner 407-376-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-12-01 |