| NPI | 1639680242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DUNN Administrator 850-474-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31126) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-04-27 |