| NPI | 1396804373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KELLY CEO 352-733-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH13786) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH13786) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-03-07 |