| NPI | 1659687119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON EDWARDS Sr. VP Pharmacy Operation 888-829-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24828) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-09-03 |