| NPI | 1013059120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIDEE ADEYEMO V President 813-679-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22531) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-10-30 |