| NPI | 1376092890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP P BISESI Senior Vice President & Secretary 863-583-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO PDO1680000123) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2025-06-11 |