| NPI | 1871097683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED DEMBELE Pharmacy Manager 813-549-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH30816) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |