| NPI | 1093354797 |
|---|---|
| Doing Business As | CARROLLWOOD COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | DAN DOMINIC FUCARINO President/ Owner 813-391-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |