| NPI | 1285267864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA LEBRON BRAYFIELD President 939-347-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2025-07-10 |