| NPI | 1598878985 |
|---|---|
| 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 |