| NPI | 1003299967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIEN DIAZ GARCIA President 305-972-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29208) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH29211) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |