| NPI | 1194154559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIZA DE LEON President/Owner 305-364-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH27197) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |