| NPI | 1013240217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ACOSTA Director Of Pharmacy 305-631-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: FL PH24219) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2020-07-07 |