| NPI | 1750148375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOCH A OFOSU Mgr 863-537-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |