| NPI | 1447347638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LARSON Pres/Owner 407-892-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH6842) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2022-08-18 |