| NPI | 1255848958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL S MILLER Owner 850-433-2165 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31116) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |