| NPI | 1811216005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONG TRUONG Pharmacy Manager 727-954-8857 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24654) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |