| NPI | 1104192335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DAVID RUTLAND President 954-455-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26011) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |