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 |