| NPI | 1710335971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FALTAOOS Rph/Owner 727-348-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29915) |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2016-05-28 |