| NPI | 1740638527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMAINE JOHNSON Mgr 844-238-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30167) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-16 |