| NPI | 1295526648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJWANTIE RAJKUMAR CEO 727-321-3854 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |