| NPI | 1427307461 |
|---|---|
| Doing Business As | INNOVATIVERX GULF COAST PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | DAVID MACNEAL President 727-631-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH26348) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2014-11-14 |