| NPI | 1184018756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODISA LANTIGUA Owner 786-704-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28973) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2016-10-03 |