| NPI | 1134517568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA RODRIGUEZ President 786-534-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28728) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2018-08-15 |