| NPI | 1679522635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH PHAN Owner 813-385-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21715) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |