| NPI | 1114235579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALVARODIAZ Pharmacy Manger 813-787-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH24851) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-12-20 |