| NPI | 1255513545 |
|---|---|
| Doing Business As | ILVA PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | JANET DE LA CRUZ President 305-519-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23100) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2010-06-09 |