| NPI | 1346167749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDY JULIAN PONCE DE LEON President 305-266-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-07-06 |