| NPI | 1952912396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE HANCOCK Compliance Manager 407-777-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-10-11 |