| NPI | 1518366319 |
|---|---|
| Doing Business As | DIRECT RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AN DUC DANG Pharmacist/Owner 407-406-1447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PSS50205) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-01-10 |