| NPI | 1255679080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMRUTHI JANNU President/Pharmacist 813-874-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26397) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2024-01-25 |