| NPI | 1124031448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPESH PATEL Owner 813-304-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2019-01-04 |