| NPI | 1255714283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-ELSIE ADE Director Of Pharmacy 786-243-8529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH11482) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH11482) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2022-10-27 |