| NPI | 1831460328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA YEVSTRATOVA Registered Pharmacist 813-977-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS44326) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-02-04 |