NPI | 1730598293 |
---|---|
Doing Business As | GULFPORT PHARMACY |
Entity Type | Organization |
Authorized Contact | TAPAN PATEL Pharmacist In Charge 727-223-1075 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2014-08-09 |
Last Update Date | 2015-04-01 |