| NPI | 1053912832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIA CRUZ Pharmacist 786-618-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 333600000X Pharmacy | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-08-30 |