| NPI | 1497852248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ALEXANDER Member Pharmacist 710-778-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD P04345) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-09-11 |