| NPI | 1417317447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC FOSTER President 813-769-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH29811) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2024-04-15 |