NPI | 1780761650 |
---|---|
Entity Type | Organization |
Authorized Contact | DARELE CAMPBELL Phcy Mgr 813-248-2767 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH1923) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |