| NPI | 1245050368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA MARIE SANDERS Pharmacist/Owner 941-484-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |