NPI | 1275988743 |
---|---|
Doing Business As | MOLINA WEST PALM BEACH |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME114917) |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-05-03 |