| NPI | 1124417241 |
|---|---|
| Doing Business As | MEDICINE STORE |
| Entity Type | Organization |
| Authorized Contact | VIMAL PATEL Owner 407-738-0972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH28791) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |