| NPI | 1912016940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D. JENSEN CFO 407-903-1335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-05-18 |