NPI | 1487893277 |
---|---|
Doing Business As | CENTRAL FLORIDA HEALTH CARE PHARMACY LAKELAND |
Entity Type | Organization |
Authorized Contact | ANN CLAUSSEN CEO 863-268-7850 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-02-18 |
Last Update Date | 2019-09-12 |