NPI | 1568575520 |
---|---|
Doing Business As | FORT MYERS PRESCRIPTION SHOP |
Entity Type | Organization |
Authorized Contact | RICHARD ARDEN LAWRENCE President/PIC 239-939-0249 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 6120) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2024-03-07 |