| NPI | 1528230646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB T WILLIAMS Owner 904-704-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23596) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2009-02-19 |