| NPI | 1043748791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARDIKKUMAR PATEL Authorized Official 813-304-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CO 1680000140) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-09-15 |