| NPI | 1184971871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON L CHEN Owner 305-653-1770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2018-03-29 |