| NPI | 1003121856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDHAT M TAWADROSS Pharmacist 321-506-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24803) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |