| NPI | 1114387966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO HERNANDEZ Primary Pharmacy Physician 305-856-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ME87519) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-01-21 |