| NPI | 1841795788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAT M NGUYEN Owner 941-952-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 171100000X Acupuncturist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH31298) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-12-16 |