| NPI | 1205281458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA SOTO Pharmacy Manager 954-534-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29825) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |