| NPI | 1841304730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN GARZON Pharmacist 407-649-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: FL PH21554) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |