| NPI | 1245283423 |
|---|---|
| Doing Business As | SEASIDE FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES PENNINGTON Co Owner 904-461-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21889) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-02-06 |