| NPI | 1942840467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY VELAZQUEZ Owner 813-482-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2022-02-03 |