NPI | 1679738637 |
---|---|
Doing Business As | GULF BREEZE APOTHECARY |
Entity Type | Organization |
Authorized Contact | MICHAEL WILHOIT Owner 865-273-0993 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH24390) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114187) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2021-12-21 |