| NPI | 1164692356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMI LAZEKI Pharmacist In Charge 305-455-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010234) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2016-07-05 |