| NPI | 1225784143 |
|---|---|
| Doing Business As | NEW LYFE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSE RAMON RODRIGUEZ-DIAZ CEO 939-545-0522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |