| NPI | 1942719398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE T NGUYEN Pharmacy Owner 407-203-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30823) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-08-10 |