| NPI | 1275516973 |
|---|---|
| Doing Business As | COUNTRY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AYMED GONZALEZ Store Manager 305-254-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21509) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-09-13 |