| NPI | 1336704196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BARTON Pharmacist In Charge 850-818-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-07-11 |