NPI | 1255582144 |
---|---|
Doing Business As | EXECUTIVE PHARMACY |
Entity Type | Organization |
Authorized Contact | LEONARD ARTEAGA Mr. 954-368-0901 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23608) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2008-10-09 |
Last Update Date | 2016-09-26 |