| NPI | 1316076409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W DICKINSON CFO 407-905-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH17564) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-10-06 |