| NPI | 1013577253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENEL BRISK Owner/Pharmacist In Charge 561-455-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |