NPI | 1922364827 |
---|---|
Doing Business As | PRESCRIPTION HEADQUARTERS, INC |
Entity Type | Organization |
Authorized Contact | GARY BRESIN Pharmacist/Owner 754-200-5054 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26124) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2012-04-04 |
Last Update Date | 2013-04-19 |