| NPI | 1093082042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UCHENNA EZENWA Pharmacist In Charge 954-450-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH25787) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2021-05-24 |