| NPI | 1366197436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE SOTO Pharmacist In Charge 305-467-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-28 |