| NPI | 1104615798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO VEGA Owner 786-776-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-09-17 |