| NPI | 1013348564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NOTARTOMASO President 561-557-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH27069) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2017-10-03 |