| NPI | 1710985544 |
|---|---|
| Doing Business As | RADIANCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NWANDO OBIANUJU NWANNA Pharamcist/Owner 727-588-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH20948) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20948) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: FL PH 20948) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |