| NPI | 1093880064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINO JOSE ANTONIONI CEO/Owner/Pharmacist 954-392-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21641) |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-04-08 |