| NPI | 1821368341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLEMANS Phrmcacy Manger 727-771-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 183500000x) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-01-02 |