| NPI | 1992132377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GORDON SHAFOR Pharmacy Manager 813-644-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL ph27068) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |