| NPI | 1013665306 |
|---|---|
| Former Legal Business Name | NO |
| Entity Type | Organization |
| Authorized Contact | ARISLEYDIS ALVAREZ ENRIQUEZ President 305-640-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |