| NPI | 1790785293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLEAVER RICHARDSON Owner/President 813-662-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH15867) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |