| NPI | 1053687798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOIRIS M MANRIQUE Owner 786-558-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph26024) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |