| NPI | 1891231965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA SHAFFER- GRIFFITHS Owner 772-400-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30237) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2020-12-09 |