NPI | 1730428897 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY P. WILKINS Proprietor/General Manager 941-928-8066 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2013-02-10 |
Last Update Date | 2013-02-10 |