| NPI | 1083824122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN LOPEZ Pharmacy Manager 407-260-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 15908) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-03-27 |