NPI | 1285163477 |
---|---|
Doing Business As | IMA DOWNTOWN KISSIMMEE DISPENSARY |
Entity Type | Organization |
Authorized Contact | PATRICIA PICHARDO COO 407-845-0330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2017-06-09 |
Last Update Date | 2017-06-29 |