| NPI | 1619439049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL PATRICK INWANG Director 850-222-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-11 |