NPI | 1508870395 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA ROSS Pharmacy Manager 850-412-7881 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH18062) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-09-12 |