| NPI | 1821330150 |
|---|---|
| Doing Business As | INNOVATIVERX GULF COAST PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | ALICIA GAZDA Director Of Pharmacy 239-324-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26491) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |