| NPI | 1871999516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHADKUMAR PATEL Owner 813-662-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28695) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH28695) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2022-03-31 |