| NPI | 1336540301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSY EDOUARD Pharmacist 267-664-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 22738) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |