| NPI | 1477834406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIAU THUY LE Pharmacist 813-716-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS38183) |
| Enumeration Date | 2011-09-04 |
| Last Update Date | 2011-09-04 |