| NPI | 1639793276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DALE SHERRILL Owner / Manager 850-359-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2023-04-04 |