| NPI | 1831700855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE DEFALCO Owner/Pharmacist 904-409-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |