| 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 |