| NPI | 1659441624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AYOTUNDE President Owner 407-522-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH 22346) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH 22346) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH 22346) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: FL PH 22346) | |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: FL PH 22346) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: FL PH 22346) | |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: FL PH 22346) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-06-05 |