| NPI | 1922392497 |
|---|---|
| Doing Business As | JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM |
| Entity Type | Organization |
| Authorized Contact | DANIELLA HOUSTON Credentialing 305-628-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2024-07-19 |