| NPI | 1457417347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL MILLER Owner 850-484-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH11033) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-03-09 |