| NPI | 1306452974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLAD AYYAD Owner 407-237-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2021-10-13 |