| NPI | 1245498948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE GLASS Chief Financial Officer 407-454-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 093002925) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-11-12 |