NPI | 1164545083 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY SYDNOR President 813-952-7182 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS13512) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2020-08-22 |