| NPI | 1518109685 |
|---|---|
| Doing Business As | 4TH ST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FRANCIS ENERIO President 813-476-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23991) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2016-08-22 |