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 |