| NPI | 1710239249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEJAS GANDHI VP 352-793-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26400) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2020-09-08 |