NPI | 1427151588 |
---|---|
Doing Business As | CLINIC PRESCRIPTION SHOP |
Entity Type | Organization |
Authorized Contact | FRANK FLEMING PIC, Bank, AO 863-680-7235 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH652) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2016-11-23 |