| NPI | 1396884342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY HEART Manager 850-416-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0012690) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 333600000X Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-03-05 |