| NPI | 1851338230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER R SHIKANY Member 866-345-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20875) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH20875) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |