| NPI | 1285072793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPESH PATEL President 813-304-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY006742IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2018-05-23 |