NPI | 1538529060 |
---|---|
Doing Business As | GULF MED PHARMACY INC |
Entity Type | Organization |
Authorized Contact | GUERDITH FERTIL President/Owner 239-541-9789 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30406) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2016-02-25 |
Last Update Date | 2016-12-18 |