| NPI | 1396090056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUC-TU TRAN CEO/Pharmacy Manager 407-814-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26253) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-07-19 |