| NPI | 1033975826 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JORGE ACOSTA Director Of Pharmacy Operations 305-631-4427  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy | 
| Additional Taxonomies | 333600000X Pharmacy | 
| Enumeration Date | 2024-02-28 | 
| Last Update Date | 2024-02-28 |