| NPI | 1700914496 |
|---|---|
| Doing Business As | BALDOMERO LOPEZ STATE VETERANS NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | NANCY MIRANDA Pharmacy Manager 813-558-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH16499) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-06-20 |