| NPI | 1164660122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAPAN SHAH Pharmacy Manager 561-841-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH28578) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2017-02-14 |