| NPI | 1609272541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHAR NADIMPALLI Pharmacy Manager 407-270-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH28687) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |