| NPI | 1295286011 |
|---|---|
| Other Name | DYNAMIC WELLNESS MTM |
| Entity Type | Organization |
| Authorized Contact | GISELE VELAZQUEZ Pharmacist 305-815-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37377) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-19 |