| NPI | 1821013715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S CORGAN Owner 386-445-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH10063) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-12-28 |