| NPI | 1356786099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MACIEL Managing Member 954-589-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH25373) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |