| NPI | 1366738916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO REYES President 786-506-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25674) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-12-27 |