| NPI | 1902074438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RAYMOND MIKLOS President 727-548-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: KY pending) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |