| NPI | 1063069607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI MARIE GERSTENKORN Pharmacy Director 786-495-6409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2021-07-07 |