| NPI | 1013041458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMGAD GIRGIS Owner 954-354-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH16660) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH16660) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH16660) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-04-09 |