| NPI | 1861881971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO BANNATYNE CEO 407-921-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28700) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |