NPI | 1073919718 |
---|---|
Doing Business As | SAN JUDAS PHARMACY CORP |
Entity Type | Organization |
Authorized Contact | PURO NARANJO President/Secretary 305-603-7145 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH28699) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-11-07 |
Last Update Date | 2014-11-07 |