| 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 |