| NPI | 1285866459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYONS Auditor 866-506-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH24111) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2014-01-27 |