NPI | 1346410537 |
---|---|
Doing Business As | 17TH STREET DISCOUNT PHARMACY |
Entity Type | Organization |
Authorized Contact | SARA ALDERMAN Owner And Pharmacist 352-351-3330 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH19628) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2008-03-04 |
Last Update Date | 2021-07-21 |