| NPI | 1841577640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL ENECHUKWU President 863-940-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25644) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2018-03-16 |