| NPI | 1104172824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSIRIS RODRIGUEZ Owner 786-385-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PH26278) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |