| NPI | 1093148918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA RODRIGUEZ President 305-200-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26996) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |