| NPI | 1013434265 |
|---|---|
| Doing Business As | BONITA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAIVIK K SHAH President 239-221-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30936) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2021-04-21 |