| NPI | 1093099699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE ROEBUCK Managing Member Of LLC/Pharmacist 786-210-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS41695) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS41695) |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2011-10-01 |