| NPI | 1760630206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA A DURAN Regulatory Affairs 352-622-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP-0002484-CS) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |