| NPI | 1265991947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HEIMANN President 352-726-1021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-08-04 |