| NPI | 1841043379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE S FREEMAN Chief Executive Officer 850-577-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| 261QP2300X Clinic/Center Primary Care | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-06-20 |