| NPI | 1831697135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA DIKE Pharmacy Manager 813-870-6426 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-07-21 |