| NPI | 1508959297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WHALEN CEO 904-308-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH-0017632) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-05-12 |