NPI | 1437121365 |
---|---|
Doing Business As | HAVANA LTC PHARMACY INC |
Entity Type | Organization |
Authorized Contact | YAMILET CRUZ Owner 813-875-5914 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH21424) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-02-03 |
Last Update Date | 2016-12-13 |