| NPI | 1164504460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ROBYN WAYNE President 561-210-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL 22:01444) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |