| NPI | 1447353503 |
|---|---|
| Doing Business As | MINNEOLA PHARMACY II LLC |
| Entity Type | Organization |
| Authorized Contact | JAN R GRANADOS Co Owner/Manager 620-885-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-04-17 |