| NPI | 1477732626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS MANES President 813-546-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 22963) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |