| NPI | 1699045575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROWLAND Pharmacy Supervisor 850-477-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS22858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 10993) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |