NPI | 1700112000 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KELLY CEO 352-733-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24302) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2022-11-22 |