NPI | 1326591066 |
---|---|
Doing Business As | SPRX2 |
Entity Type | Organization |
Authorized Contact | KERRI MCADOO Director Of Pharmacy 904-503-5030 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL 30277) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-07-29 |
Last Update Date | 2016-09-19 |