| NPI | 1205065190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEN LE Pharmacy Manager 954-533-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24087) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH24087) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH24087) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |