| NPI | 1538248562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY PERRY CHASTAIN Owner 850-623-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20089) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-24 |