| NPI | 1245302025 |
|---|---|
| Doing Business As | CENTER PHARMACY II |
| Entity Type | Organization |
| Authorized Contact | JON LUEDTKE Secretary 239-772-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH11465) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-01-30 |