| NPI | 1114271137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WAYNE NUNDY Co Owner/Pharmacist 727-209-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |