NPI | 1285161083 |
---|---|
Doing Business As | EBENEZER CLINICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | TINA IHERA Pharmacist/Owner 407-969-8130 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30718) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-04-10 |