| NPI | 1174892319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY OSES Owner / President 786-332-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH25842) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2013-09-04 |