NPI | 1528616596 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J GASPELIN Director Of Finance/Revenue 321-841-6308 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
Enumeration Date | 2019-09-03 |
Last Update Date | 2019-09-03 |