| NPI | 1063822286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY REYES President 786-525-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28084) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |