NPI | 1265514764 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN J. MOTEW CEO 352-733-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH11976) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2024-07-23 |