| NPI | 1508195769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BRITO Manager 813-384-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24366) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2011-08-04 |