| NPI | 1578759510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY WILSON Manager 850-434-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22830) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |