NPI | 1194881599 |
---|---|
Doing Business As | PLATINUM PHARMACY AND COMPOUND |
Entity Type | Organization |
Authorized Contact | IHAB BARSOUM President And Phcy Mgr 813-766-9955 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22447) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2011-02-24 |