| NPI | 1124161435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKASH RAMLAGAN Owner 772-464-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH6577) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-09-09 |