| NPI | 1225575020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAM TU P Harmacist/Owner 407-616-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30593) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-02-20 |