| NPI | 1285982611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WESLEY MOSS CEO 352-437-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26310) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |