| NPI | 1487019295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDA AMAR Pharmacist 813-252-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph29615) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2017-01-09 |