| NPI | 1063872562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE LAWSON Vice President Of Operations 813-549-2134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |