| NPI | 1154177780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAMSEE CHARAN NALAGANDLA Pharmacy Manager 407-343-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |