NPI | 1104967066 |
---|---|
Entity Type | Organization |
Authorized Contact | ELING BETANCOURT Owner 813-601-3373 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH21402) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2025-09-11 |