| NPI | 1114046729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSTON POWELL President 954-252-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22609) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-03-31 |