| NPI | 1669642377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA L RIVERS Pharmacy Manager/Owner 904-502-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL Pending) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |