| NPI | 1023709540 |
|---|---|
| Doing Business As | IDEL PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ILLAN SUAREZ President 813-877-6679 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |