NPI | 1720686355 |
---|---|
Doing Business As | FRUITVILLE PHARMACY |
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President & CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
Enumeration Date | 2020-10-15 |
Last Update Date | 2023-11-28 |