| NPI | 1255269270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONY PANAMGOTTUPARAMBIL Organizer 813-480-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |