| NPI | 1073865614 |
|---|---|
| Doing Business As | MUG & MORTAR |
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVENS President 954-383-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 26213) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2015-12-22 |