| NPI | 1588101356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PETER SPAFFORD President And Treasurer 407-367-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH30591) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-02-15 |