| NPI | 1700275716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAM TON Owner 727-317-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2021-08-10 |