| NPI | 1326426339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY NEAL Accounts Payable 561-844-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL 171W00000X) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |