| NPI | 1487965018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARSHANKUMAR B PATEL Owner 904-696-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 24721) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2025-09-05 |