| NPI | 1336546118 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO RODRIGUEZ Administrator 571-285-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH 28691) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2014-11-22 |