| NPI | 1124142567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME A RIOS Manager 727-547-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PPH20986) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |