| NPI | 1659668275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRUNAL PATEL Pharmacy Manager 863-937-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS41919) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2011-07-03 |