| NPI | 1720023047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HURLEY COO 904-272-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH21596) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2025-09-11 |