| NPI | 1528593522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE JONES Pharmacist 813-765-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS40479) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |