| NPI | 1083996243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLETTE MATHEY Pharmacy Manager 727-734-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS46454) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |