| NPI | 1003145079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETAN SHAH Owner 727-688-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24382) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2010-09-09 |