| NPI | 1639470362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY R DENNISON CEO 813-374-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2018-04-20 |