| 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 | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2016-09-26 |