NPI | 1528201340 |
---|---|
Doing Business As | ROBERTS' SOUTH BANK PHARMACY, INC. |
Entity Type | Organization |
Authorized Contact | GARY ROBERTS President/Owner 904-398-9660 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24006) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2009-04-09 |
Last Update Date | 2017-02-27 |