| NPI | 1033609227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GOODKIN Owner 561-208-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH31405) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-03-19 |