| NPI | 1659314938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KELLY CEO 352-733-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL FL368) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-11-22 |