| NPI | 1285700468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL A GAMBLE Pharmacy Manager 407-823-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH8211) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |