| NPI | 1912218108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMAS JOSHUA OGUEJIOFOR Prescri PT Ion Department Manager 813-443-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH24705) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-07-11 |