| NPI | 1235718305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SWEETING Pharmacy Manager 954-210-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |