| NPI | 1639262280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE D. ADKISON Administrator 352-357-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 226) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-03-18 |