| NPI | 1417322033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY VELAZQUEZ Ambr 813-559-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29563) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-02-12 |