| NPI | 1063705606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS FERNANDEZ President 786-514-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25466) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |