| NPI | 1497282263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN D MILES Hiv Residency Director 850-599-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph17732) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |