| NPI | 1881939312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARIO PARRADO Prescription Deoartment Manager 813-304-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26537) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |