| NPI | 1730498288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MAYO Pharmacist 850-545-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ps43165) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |