| NPI | 1508202987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEL PARRISH Owner 239-775-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph16358) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |