| NPI | 1306033303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMMA ROSELLO Vice President 305-500-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2016-06-09 |