| NPI | 1578308540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA BOTERO Pharmacy Manager 813-629-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |