| NPI | 1790160406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM CRAWFORD Manager Of Pharmacy Informatics 850-469-7529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: FL PH2142) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH2142) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-01-25 |