| NPI | 1336405109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY VAZHAYIL GEORGE Pharmacy Manager 727-378-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26045) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2019-07-30 |