| NPI | 1952510810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RILEY Superintendent 863-491-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: FL PH18403) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |