| NPI | 1750556130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER W WATKINS Chief, Bureau Of Statewide Pharma 850-922-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL ph23821) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2009-09-21 |