| NPI | 1497209159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAB HARAKA Manager 352-213-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 30300) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2021-12-20 |