NPI | 1063423606 |
---|---|
Doing Business As | COMMCARE PHARMACY MIA |
Entity Type | Organization |
Authorized Contact | RICHARD DOUGHERTY COO 954-332-6170 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH21974) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2016-06-20 |