| 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 |