| NPI | 1336372168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEROEN RABIEIFAR Vice President/Pharmacist 561-876-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24114) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2015-05-27 |