| NPI | 1356753255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANDRESS Chief Executive Officer 772-925-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30417) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-11-25 |