| NPI | 1023156106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE MATHURA Pharmacy Manager 407-846-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21929) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |