| NPI | 1356711089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE KING District Manager 239-206-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 1629017595) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |