| NPI | 1568532679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DANIEL BEATTIE Pharmacist 813-689-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0002567) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-11-19 |