| NPI | 1477001352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SHAY BARWICK Pharmacist 850-519-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19487) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps55055) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |