| NPI | 1033549134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LARA COO 561-270-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH27241) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: FL PH27241) |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: FL PH27240) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH27240) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH27240) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2019-07-11 |