| NPI | 1609045137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL SCARBROUGH Owner 904-772-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0012202) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH0012202) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-06-13 |