| NPI | 1144576463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHON HURTADO President 786-942-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-03-28 |