| NPI | 1265975957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON HERBERT DOCOBO Director 813-844-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-04-04 |