| NPI | 1265664080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO JESUS REINOSO President 305-551-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH24200) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-25 |