| NPI | 1568014678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M LOWRANCE Director Of Clinic Operations 813-957-6281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |