| NPI | 1558702605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LEFRANC Pharmacist 850-591-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL PS50538) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |