| NPI | 1235415662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL ITANI Owner 321-269-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25723) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |