NPI | 1982956702 |
---|---|
Doing Business As | SPECTRUM DRUG STORE |
Entity Type | Organization |
Authorized Contact | VIRAL SHAH Owner/Pharmacist In Charge 813-968-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26522) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-10-03 |
Last Update Date | 2014-11-24 |