| NPI | 1922584150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EUGENE JENNINGS Manager/Member 850-569-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |