| NPI | 1578661088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MARTIN KAHN Owner 727-595-9402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH1792) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-02-21 |