| NPI | 1902176340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY THANH NGUYEN Pharmacist 813-920-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS40977) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |