| NPI | 1184855793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANITY GARDNER Owner 954-485-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26848) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-04-27 |