| NPI | 1265835938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G FELKNER EVP/Dfo 321-434-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28943) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH22857) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2018-04-26 |