| NPI | 1225564107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE MOURANI Pharmacist In Charge 954-687-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30690) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH30690) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: FL PH30690) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH30690) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |