| NPI | 1215188958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN CAO Administrator 786-547-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 19-F-2959) |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2025-09-19 |