| NPI | 1073868386 |
|---|---|
| Doing Business As | 45TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GANIAT OLUWAMAYOWA Owner 786-877-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26266) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2016-04-20 |