| NPI | 1578715215 |
|---|---|
| Doing Business As | SRX PHARMACY #002 |
| Entity Type | Organization |
| Authorized Contact | JACK DIAMOND Owner, VP, AO 813-484-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23546) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2018-07-19 |