NPI | 1700184702 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES SERAYDAR COO 813-639-7535 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 347E00000X Transportation Broker |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-03-01 |