| NPI | 1275870818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH PATEL Owner 352-509-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26617) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2020-10-08 |