| NPI | 1316024284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY DYEN President 954-753-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH8106) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-07-10 |