| NPI | 1255363479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTA S TELLECHEA President 305-644-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH17980) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |