| NPI | 1528311529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE TROMP Pharmacy Manager 941-445-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: FL PH 23191) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2016-07-05 |