| NPI | 1164456349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK GERALD PIREAUX Owner/ Manager 941-378-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PH22070) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-02-05 |