| NPI | 1003437732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO RIVERA Authorized Official 352-205-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-04-02 |