| NPI | 1629270491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RODRIGUEZ Administrative Asst. 863-293-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22556) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |