NPI | 1942375670 |
---|---|
Doing Business As | CRJ NEIGHBORHOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | DEREK ORVILLE O'BANNON President 863-669-1329 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL PH21511) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |