NPI | 1568530707 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEMOLA ADEBAYO President Phcy Mgr 727-815-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH21303) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-12-04 |
Last Update Date | 2020-08-22 |