| NPI | 1649613993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAMMUSO Owner 239-340-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26794) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |