| NPI | 1194076786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHEN CEO 305-653-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-25 |