| NPI | 1326787912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN MARTINEZ President 786-320-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-04-06 |