NPI | 1821386475 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL SHELDT President/Pharmacy Manager 850-587-4008 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 113781) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2011-11-15 |