| NPI | 1285263780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCE Chief Financial Officer 239-343-6014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |