NPI | 1487763264 |
---|---|
Entity Type | Organization |
Authorized Contact | DEL PARRISH Owner 239-775-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PH16358) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-29 |
Last Update Date | 2008-05-05 |