| NPI | 1245505247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUOC NGUYEN Pharmacy Manager/Owner 727-827-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25859) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |