| NPI | 1336246172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIDET FERNANDEZ VP 305-642-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH12537) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-10 |