| NPI | 1548777659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL MILLER Owner 850-433-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH31116) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |