| NPI | 1760581375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CARTER Owner 904-389-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ps6642) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |