| NPI | 1154719078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MANLULU MEGANO Pharmacist 561-866-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL PS52607) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |