NPI | 1649516113 |
---|---|
Doing Business As | SOOTHE COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | BRAD LONG President 941-792-2688 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26591) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2013-01-02 |
Last Update Date | 2013-01-24 |