| NPI | 1942203187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R. CARNEY Sr. Pharmacy Ops Mgr 407-513-6495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH21035) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH21035) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-05-19 |