| NPI | 1528167194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE CAMERON MYERS President/Pharmacist 813-872-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH1515) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-04-07 |