| NPI | 1093420382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDALYN WRIGHT Owner/Pharmacist In Charge 813-800-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-11-21 |