| NPI | 1093102071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN SCHABORT Pharmacy Manager 561-921-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH28739) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-05-20 |