| NPI | 1124132196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPTI PATEL Owner 727-772-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22007) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-03-17 |