| NPI | 1073746608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON SEVERINO MORENO Rph/CEO 305-556-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH0013996) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2013-05-13 |