| NPI | 1073911483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HERNANDEZ Pharmacy Specialist Coordinator 727-302-8135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20757) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |