| NPI | 1497293641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINAL SHAH Owner 941-786-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH28429) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2018-03-20 |