| NPI | 1780863175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE CORBIN General Manager 727-724-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PS 24880) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |