| NPI | 1740958081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCBREEN Pharmacy Manager 239-297-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-05-16 |