| NPI | 1679824346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BERKOFF CFO 813-882-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20156) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH15735) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |