| NPI | 1063814630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE SARATAN Pharmacist In Charge 352-323-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH25290) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |