| NPI | 1437245990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE ROMINE System COO 904-308-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH-0009430) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-03-08 |