| NPI | 1962648261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JONES President, Director 772-398-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NV PH02204) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2023-03-07 |