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 |