| NPI | 1093543357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEH FARAGALLAH Pharmacy Manager 727-934-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |