NPI | 1295023059 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS SITARAS Owner 561-588-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25600) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-07-14 |
Last Update Date | 2022-06-06 |