| NPI | 1407156250 |
|---|---|
| Doing Business As | LIFECARE PHARMACY LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | CARLOS JUAN MAZARIEGOS Co Owner 727-209-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH24967) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |