| NPI | 1609038926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRAV (NICK) PATEL Manager 813-784-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23458) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-09-27 |