| NPI | 1154767663 |
|---|---|
| Doing Business As | FAMILY PHARMACY AND MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ALDOFO REQUENA New Owner 239-352-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |