| NPI | 1659408516 |
|---|---|
| Doing Business As | HALLIDAY'S & KOIVISTO'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CAROLYN S BASS Manger 904-737-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-08-17 |