| NPI | 1740010859 |
|---|---|
| Doing Business As | HALLIDAYS KOIVISTOS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NIRAV PATEL President 904-737-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |