| NPI | 1649413832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BLACK President 772-398-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: FL PH28876) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2023-03-07 |