| NPI | 1245622117 |
|---|---|
| Doing Business As | VISTACARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NAZIR HASSAN Authorized Agent 813-444-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26923) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2022-06-08 |