| NPI | 1750010047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT CLAYPOOLE Owner/Pharmacist In Charge 561-427-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |