| NPI | 1174037063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAN PATEL Owner,President,AO 904-814-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH31057) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-05-04 |