| NPI | 1104187947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA DELGADO Pharmacy Manager 305-558-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL rpt36142) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |