| NPI | 1053500066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ALBERTO President 727-846-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 22873) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |