| NPI | 1851728703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADY ABDELMASIH Rph Manager 727-772-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28918) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2016-07-12 |