| NPI | 1417043100 |
|---|---|
| Doing Business As | PARK SHORE PHARMACON |
| Entity Type | Organization |
| Authorized Contact | ROBERT D GILLIS President. 954-874-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH13376) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-06-21 |