| NPI | 1104097641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIEN PECKHAM President 813-629-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: FL 48062) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |