| NPI | 1689129173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHUMA EZEOBINWA Pharmacy Manager 407-751-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2022-11-01 |