| NPI | 1255301586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. HUGHES Pharmacy Manager 386-734-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH192) |
| Additional Taxonomies | 172A00000X Driver |
| 183500000X Pharmacist (Licence: FL PS16836) | |
| 183700000X Pharmacy Technician | |
| 225000000X Orthotic Fitter | |
| 227900000X Respiratory Therapist, Registered | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 333600000X Pharmacy (Licence: FL PH192) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH192) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH192) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-02-22 |