NPI | 1073757852 |
---|---|
Doing Business As | NORTHWEST MEDICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | ERNESTO DIAZ Officer 305-651-7074 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH24054) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-04-24 |
Last Update Date | 2012-02-17 |