| NPI | 1639643000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILLAN SUAREZ Owner/Pharmacist 813-310-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2021-06-28 |