| NPI | 1821501545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARDIK SHAH Owner, AO 352-272-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH31025) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-07-19 |