| NPI | 1124407333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MURPHY Dispensing Practitoner 813-253-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME0067644) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |