| NPI | 1922696046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY STEVEN FLETCHER Director Of Pharmacy 850-469-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |