| NPI | 1528203775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL D ACQUAVIVA Pharmacist Owner 321-725-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH10316) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-18 |