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 |