| NPI | 1821308305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AYOTUNDE Pharmacy Manager 352-622-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2013-10-25 |