| NPI | 1265853337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVI KOUNG President 941-355-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL 45954) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 45954) | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2019-12-03 |