| NPI | 1649513482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHO NKENGKA Owner 904-579-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26578) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-12-09 |