| NPI | 1750143400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON AWOBUSUYI President/Pharmacy Manager 407-201-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |