| NPI | 1295811032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY JEAN STAMBAUGH Pharmacist 561-540-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: FL PH0016562) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-06-13 |