| NPI | 1952637449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BREWER Owner/ Pharmacy Tech 239-221-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH24311) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2017-11-16 |