| NPI | 1982250510 |
|---|---|
| Doing Business As | HWC LAND O'LAKES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MELVIN B PRICE President And CEO 941-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2023-11-28 |