| NPI | 1720093339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAMS Pharmacist Owner 863-676-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH006754) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-03-26 |