| NPI | 1467608075 |
|---|---|
| Doing Business As | SANTA ROSA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN DALE BANDY Owner 850-622-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |