| NPI | 1275878738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANT PATEL Registered Pharmacist 321-676-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH26545) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2024-05-09 |