| NPI | 1669155487 |
|---|---|
| Former Legal Business Name | BEAUTIFILLRX LLC |
| Entity Type | Organization |
| Authorized Contact | DAMITA JOY FERGUSON Owner/ Pharmacy Manager 352-284-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-10-06 |