| NPI | 1720149586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKUNLE ADEKANMBI Pharmacy Manager 813-664-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21091) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-11-04 |