| NPI | 1013785559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLAD KAMEL Owner/Authorized Agent 727-312-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |