| NPI | 1760779615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH J PATEL Pharmacy Manager 813-361-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25533) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2013-01-03 |