| NPI | 1588950414 |
|---|---|
| Other Name | MORTAR AND PESTLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | XXXXXXXXXXX XXXXXXXX Xxxxxxxxxxxxxxxx 407-288-8836 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24338) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH24338) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2012-12-30 |