| NPI | 1932642543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVIN K PANCHAL Owner/Staff Pharmacist 941-212-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL 30465) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2017-11-21 |