| NPI | 1487694238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ANDERSON Owner 941-373-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH19762) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |