| NPI | 1598916850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS TODD MILLER Pharmacist 772-567-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2011-11-01 |