| NPI | 1922415140 |
|---|---|
| Doing Business As | PHYSICIAN SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW FISHER Director 850-462-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28308) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2017-04-13 |