| NPI | 1346565645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETAN SHAH Pharmacy Manager/Owner 813-410-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24489) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |