| NPI | 1689439325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA DENISE CLEAVER Pharmacy Manager, Owner 727-203-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |