| NPI | 1972035236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLURMAN President 352-848-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30708) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |