| 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 |