| NPI | 1023195187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYTER LORENZO President 305-512-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22336) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH22336) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-26 |