| NPI | 1770828741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN HOLMES Owner 844-557-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26538) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2017-03-31 |