| NPI | 1245030519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO TABRAUE Manager 786-295-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |