| NPI | 1053664268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDANIA ENRIQUE Pressident 305-558-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL ph24585) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |