NPI | 1629495536 |
---|---|
Entity Type | Organization |
Authorized Contact | KHRISTY MCCLELLAND President 904-345-4301 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PS31724) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2014-03-28 |