| NPI | 1255410353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LEACH Owner/Pharmacist 954-462-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH19947) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-08-02 |