| NPI | 1811661440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY HOBACK CEO 813-866-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |