| NPI | 1275831711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO FERNANDEZ BACALLAO President 305-403-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25258) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-10-20 |