| NPI | 1366086126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ANN PINILI BENET Pharmacist, Owner 386-237-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-10-05 |