| NPI | 1093930117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMED GONZALEZ President 305-229-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH22638) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-06-16 |