| NPI | 1174600902 |
|---|---|
| Doing Business As | XTRA DISCOUNT DRUGS |
| Entity Type | Organization |
| Authorized Contact | EVELYN L ALLEN JOHNSON Pharmacist Manager 813-788-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH10896) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PH20846) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-03-22 |