| NPI | 1447275391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPTAIN BRATHWAITE Pharmacy Manager 352-567-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-12-18 |