| NPI | 1609851880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN T OKPALEKE Pharmacy Director 941-729-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH21445) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2009-01-26 |