| 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 | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |