| NPI | 1659695658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA M. LEWIS Clinical Director 904-465-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL ps31697) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: FL PS31697) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS3169) | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |