NPI | 1003845868 |
---|---|
Doing Business As | GROVE PHARMACY & AA MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | RAYMOND G WEISBEIN President 305-662-4477 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25630) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-07-02 |
Last Update Date | 2013-01-29 |