| NPI | 1053616771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS GRIFFITH Owner/ Manager 954-691-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH25180) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-25 |