| NPI | 1356527576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CICELY D EASON Executive Administrator 561-789-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL OS8811) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-05-07 |