| NPI | 1396067385 |
|---|---|
| Doing Business As | PR PHARMACY HEALTHMART |
| Entity Type | Organization |
| Authorized Contact | EZZAT ATALLA Pharmacist/Owner 727-868-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH24470) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2011-02-18 |