| NPI | 1730540980 |
|---|---|
| Doing Business As | CCRX |
| Entity Type | Organization |
| Authorized Contact | DEAN A PEDALINO Managing Partner 727-460-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH29936) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-12-31 |