| NPI | 1356422729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULEMA OLMO Pharmacy Manager 305-269-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH18985) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL PH18985) |
| 333600000X Pharmacy (Licence: FL PH18985) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH108985) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |