| NPI | 1881967974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKAT GUDIPATI Pharmacy Manager 352-750-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25981) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2023-03-07 |