| NPI | 1871558387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI BROWN Manager 772-465-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2013-12-18 |