| NPI | 1659245884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HARTSFIELD Quality And Compliance Coordinator 321-689-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-03 |