NPI | 1124450275 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCIS ENERIO Pharmacist 813-476-0854 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH26772) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2015-04-07 |