| NPI | 1366583817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL GAGE Presidentpharmacist 352-373-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-11-19 |