| NPI | 1396429817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C SCHANDEL CEO/President 386-676-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |