| NPI | 1528471786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLURMAN Pharmacist In Charge 813-999-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH28122) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |