| NPI | 1255573010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARA M MORA President 786-360-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23978) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-10-01 |