NPI | 1063986248 |
---|---|
Doing Business As | PHYSICIAN FAMILY PHARMACY COMPOUND AND MINI CLINIC |
Entity Type | Organization |
Authorized Contact | ANGELITA NICOLAS Owner 561-501-1874 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2019-01-21 |
Last Update Date | 2019-01-21 |