| NPI | 1538377163 |
|---|---|
| Doing Business As | PRIME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK ERBLAT President 941-378-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22704) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-08-16 |