| NPI | 1326389867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK PATEL Owner 863-453-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26719) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2017-02-16 |