| NPI | 1972516698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSH MEHTA Owner 727-848-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22182) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-09-30 |