| NPI | 1336672427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGNESHKUMAR PATEL Pharmacy Manager 561-317-6354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH30674) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |