| NPI | 1871708735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE B PATEL Owner 813-390-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph22693) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-08-24 |