| NPI | 1912548769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE NEAL President 352-584-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-12-30 |