| NPI | 1699079756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERINA SHAH Owner 813-689-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH25168) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2023-03-07 |