| NPI | 1336605492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELL JONES Pharmacist 954-330-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-11-03 |