| 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 |