| NPI | 1720807134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITINKUMAR PARSHOTAMBHAI PATEL Pharmacy Manager 941-960-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |