| NPI | 1477652428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY SUSI C.E.O. President 772-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph-8926) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |