| NPI | 1760575542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLEE CARTER PIC 813-932-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20958) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-09-17 |