| NPI | 1003995770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITO BELEN President 727-548-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22167) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-09-12 |