| NPI | 1215727813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO RODRIGUEZ Compliance Officer 813-374-9345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |