| NPI | 1942740139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMER RASSAM Md 850-219-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30628) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-04-13 |