| NPI | 1164789608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA ADEYEMO Owner 813-719-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22531) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-03-17 |