| NPI | 1750327219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MARUSCHAK COO 850-478-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH0017123) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-08-26 |