| NPI | 1609323732 |
|---|---|
| Doing Business As | FLORIDA MEDICAL CLINIC PHARMACY OF WIREGRASS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL COMBER Director Of Pharmacy 813-715-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30249) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-03-20 |