| NPI | 1306896535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SANTANA Owner 305-387-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH23501) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-09-21 |