| NPI | 1275943771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PHAM Pharmacy Manager And Owner 407-902-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH27330) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |