| NPI | 1538523253 |
|---|---|
| Doing Business As | KISSIMMEE PHARMACY SEDANOS |
| Entity Type | Organization |
| Authorized Contact | VIJAYA KODE Pharmacy Manager 954-562-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH29998) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-06-27 |