| NPI | 1689127862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WILK VP Operations 407-865-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH30154) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |