| NPI | 1619260718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ALLEN CEO President 813-390-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |