| NPI | 1346630761 |
|---|---|
| Former Legal Business Name | COMPLETE 180 LLC |
| Entity Type | Organization |
| Authorized Contact | ERIKA JASPER Owner 352-255-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PU6243) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS36762) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PU6243) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 55903) | |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-01-24 |