| NPI | 1588404826 |
|---|---|
| Doing Business As | ASCENSION RX 1407 |
| Entity Type | Organization |
| Authorized Contact | COBA SUSAN CORNEJO Chief Operating Officer 850-416-6206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-28 |