| NPI | 1962728360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERAZ MIRZA COO 904-551-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24868) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2019-01-10 |