| NPI | 1215826599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIMILSIS SALGADO Director Of Provider Relations 305-614-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |