| NPI | 1265447817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENIA YIELDING Director/Pharmacist 407-357-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH22100) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-06-26 |