NPI | 1487883856 |
---|---|
Doing Business As | DIVINE PHARMACY |
Entity Type | Organization |
Authorized Contact | PETER ELIOGU Pharmacist In Charge 352-793-2679 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24149) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2017-06-02 |