| NPI | 1912979287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MCCARTHY COO 727-530-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL 14279) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: FL 14279) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL 14279) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: FL 14279) | |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: FL 14279) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2016-04-07 |