| NPI | 1225048036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P CAMMUSO Owner Pharmacist 239-775-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH11849) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-11-15 |