| NPI | 1134211444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID LICEA Owner 305-263-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20034) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-09-11 |