| NPI | 1134333545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEREIDA A. MONTEJO President 305-412-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22651) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL Ph22651) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL PH22651) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: FL PH22651) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL PH22651) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL PH22651) | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH22651) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH22651) | |
| 333600000X Pharmacy (Licence: FL PH22651) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-09-04 |