NPI | 1598878985 |
---|---|
Doing Business As | CENTRA RX INC |
Entity Type | Organization |
Authorized Contact | JOHN COSTA President 352-629-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH19659) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-17 |
Last Update Date | 2013-06-12 |