| NPI | 1457423972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KLEIN Owner 941-255-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: FL PH17469) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-04-17 |