| NPI | 1215063615 |
|---|---|
| Doing Business As | FLORIDA DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | DENNIS HATTABAUGH Pharmacist Manager 813-248-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH1510) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-19 |